Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,277.41 / $1,459.90 / $4,007.13	Facility		$1,277.41	$1,459.90	$4,007.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.55 / $1,459.90 / $2,737.32	Professional		$1,213.55	$1,459.90	$2,737.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,091.41 / $4,106.00 / $6,360.60	Facility		$3,091.41	$4,106.00	$6,360.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,642.39 / $1,655.59 / $3,955.01	Professional		$1,642.39	$1,655.59	$3,955.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,386.63 / $2,540.10 / $4,790.64	Facility		$1,386.63	$2,540.10	$4,790.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.76 / $1,354.72 / $3,474.44	Professional		$846.76	$1,354.72	$3,474.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,459.90 / $2,485.86 / $3,029.30	Facility		$1,459.90	$2,485.86	$3,029.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,485.86 / $2,485.86 / $2,600.00	Professional		$2,485.86	$2,485.86	$2,600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.17 / $1,824.88 / $3,494.65	Professional		$1,186.17	$1,824.88	$3,494.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.88 / $1,824.88 / $1,824.88	Facility		$1,824.88	$1,824.88	$1,824.88
United Facility/Professional Professional Modifier Low / Median / High Price $912.44 / $1,242.93 / $2,485.86	Professional		$912.44	$1,242.93	$2,485.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,178.46 / $8,668.18 / $8,668.18	Facility		$3,178.46	$8,668.18	$8,668.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,124.40 / $9,124.40 / $13,686.60	Professional		$9,124.40	$9,124.40	$13,686.60