Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.30 / $1,610.30 / $2,777.84	Facility		$1,610.30	$1,610.30	$2,777.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.14 / $1,610.30 / $1,610.30	Professional		$785.14	$1,610.30	$1,610.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,675.31 / $2,727.91 / $3,359.49	Facility		$1,675.31	$2,727.91	$3,359.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,048.24 / $1,379.26 / $1,379.26	Professional		$1,048.24	$1,379.26	$1,379.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.41 / $1,108.41 / $1,108.41	Facility		$1,108.41	$1,108.41	$1,108.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $1,108.41 / $2,356.50	Professional		$809.14	$1,108.41	$2,356.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $562.66 / $1,610.30 / $2,093.39	Facility		$562.66	$1,610.30	$2,093.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,029.00 / $1,029.00 / $1,250.39	Professional		$1,029.00	$1,029.00	$1,250.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,590.19 / $2,590.19 / $3,982.50	Professional		$2,590.19	$2,590.19	$3,982.50
United Facility/Professional Professional Modifier Low / Median / High Price $700.16 / $917.46 / $1,330.32	Professional		$700.16	$917.46	$1,330.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,237.78 / $9,872.78 / $9,872.78	Facility		$3,237.78	$9,872.78	$9,872.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,100.47 / $11,100.47 / $16,188.90	Professional		$11,100.47	$11,100.47	$16,188.90