Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,862.09	Professional		$912.01	$1,258.93	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,162.28 / $4,265.80	Facility		$1,995.26	$3,162.28	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,819.70	Professional		$1,621.81	$1,621.81	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,318.26 / $1,318.26	Facility		$389.05	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $2,570.40	Professional		$954.99	$954.99	$2,570.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,000.00 / $1,348.96	Professional		$933.25	$1,000.00	$1,348.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,862.09 / $3,090.30	Facility		$912.01	$1,862.09	$3,090.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,698.24	Facility		$676.08	$1,000.00	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,513.56	Professional		$812.83	$1,071.52	$1,513.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $16,218.10	Professional		$12,022.64	$12,022.64	$16,218.10