Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.90 / $1,624.00 / $3,272.30	Facility		$1,278.90	$1,624.00	$3,272.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,349.95 / $1,624.00 / $2,151.80	Professional		$1,349.95	$1,624.00	$2,151.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,438.89 / $4,235.09 / $5,546.12	Facility		$3,438.89	$4,235.09	$5,546.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $913.50 / $1,908.40 / $3,248.00	Professional		$913.50	$1,908.40	$3,248.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,542.50 / $2,825.76 / $5,328.87	Facility		$1,542.50	$2,825.76	$5,328.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $940.83 / $1,507.07 / $2,957.75	Professional		$940.83	$1,507.07	$2,957.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,624.00 / $2,030.00 / $3,045.00	Facility		$1,624.00	$2,030.00	$3,045.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,319.50 / $1,319.50 / $2,030.00	Professional		$1,319.50	$1,319.50	$2,030.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,319.50 / $2,030.00 / $3,887.45	Professional		$1,319.50	$2,030.00	$3,887.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,015.00 / $1,218.00 / $2,090.90	Professional		$1,015.00	$1,218.00	$2,090.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,532.20 / $9,642.50 / $9,642.50	Facility		$3,532.20	$9,642.50	$9,642.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,150.00 / $10,150.00 / $15,225.00	Professional		$10,150.00	$10,150.00	$15,225.00