Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,585.41 / $3,010.31 / $5,037.00	Facility		$2,585.41	$3,010.31	$5,037.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,585.41 / $2,608.16 / $3,078.11	Professional		$2,585.41	$2,608.16	$3,078.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,899.08 / $3,844.64 / $5,183.78	Facility		$2,899.08	$3,844.64	$5,183.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,124.50 / $2,615.89 / $3,364.46	Professional		$2,124.50	$2,615.89	$3,364.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,460.53 / $2,608.16 / $3,279.04	Facility		$2,460.53	$2,608.16	$3,279.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,541.54	Professional		$2,608.16	$2,608.16	$3,541.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,343.80 / $2,487.85 / $3,895.69	Facility		$1,343.80	$2,487.85	$3,895.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,343.80 / $1,992.00 / $3,962.00	Professional		$1,343.80	$1,992.00	$3,962.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,578.70 / $4,173.05 / $4,994.62	Professional		$3,578.70	$4,173.05	$4,994.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.58 / $3,261.58 / $4,411.16	Facility		$3,261.58	$3,261.58	$4,411.16
United Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,764.65 / $3,129.79	Professional		$2,608.16	$2,764.65	$3,129.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,469.35 / $13,040.80 / $13,040.80	Facility		$3,469.35	$13,040.80	$13,040.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,064.38 / $12,064.38 / $12,064.38	Professional		$12,064.38	$12,064.38	$12,064.38