Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,283.79 / $2,283.79 / $3,939.70	Facility		$2,283.79	$2,283.79	$3,939.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,109.16 / $2,283.79 / $2,283.79	Professional		$1,109.16	$2,283.79	$2,283.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,091.10 / $2,509.32 / $4,764.55	Facility		$2,091.10	$2,509.32	$4,764.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,486.65 / $1,956.11 / $1,956.11	Professional		$1,486.65	$1,956.11	$1,956.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,613.35 / $1,703.99 / $1,703.99	Facility		$1,613.35	$1,703.99	$1,703.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,703.99 / $2,780.63	Professional		$1,243.91	$1,703.99	$2,780.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $733.56 / $2,283.79 / $2,968.93	Facility		$733.56	$2,283.79	$2,968.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,467.00 / $1,467.00 / $1,773.37	Professional		$1,467.00	$1,467.00	$1,773.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,733.10 / $2,733.10 / $4,202.39	Professional		$2,733.10	$2,733.10	$4,202.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.62 / $1,520.62 / $1,520.62	Facility		$1,520.62	$1,520.62	$1,520.62
United Facility/Professional Professional Modifier Low / Median / High Price $940.47 / $1,289.57 / $1,886.71	Professional		$940.47	$1,289.57	$1,886.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,075.23 / $14,424.99 / $14,424.99	Facility		$4,075.23	$14,424.99	$14,424.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,576.83 / $14,576.83 / $17,082.23	Professional		$14,576.83	$14,576.83	$17,082.23