Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,981.07 / $5,128.61	Facility		$1,288.25	$3,981.07	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,949.84	Professional		$1,071.52	$1,288.25	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,715.35 / $5,011.87	Facility		$2,754.23	$3,715.35	$5,011.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,621.81 / $2,570.40	Professional		$724.44	$1,621.81	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,570.40 / $4,265.80	Facility		$1,096.48	$2,570.40	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $2,454.71	Professional		$758.58	$1,202.26	$2,454.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,995.26	Facility		$977.24	$1,288.25	$1,995.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,698.24	Professional		$1,621.81	$1,621.81	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,621.81 / $1,949.84	Facility		$812.83	$1,621.81	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,621.81	Professional		$676.08	$812.83	$1,621.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Facility		$7,762.47	$7,762.47	$7,762.47
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $12,302.69	Professional		$8,128.31	$8,128.31	$12,302.69