Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,659.59	Professional		$758.58	$1,047.13	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $3,801.89	Facility		$1,584.89	$1,862.09	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,445.44 / $1,584.89	Professional		$1,412.54	$1,445.44	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,905.46	Professional		$758.58	$758.58	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $812.83 / $1,071.52	Professional		$758.58	$812.83	$1,071.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,659.59 / $2,630.27	Facility		$741.31	$1,659.59	$2,630.27
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 $537.03 / $794.33 / $1,513.56	Facility		$537.03	$794.33	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,348.96	Professional		$660.69	$912.01	$1,348.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $12,882.50 / $12,882.50	Professional		$11,220.18	$12,882.50	$12,882.50