Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,511.89	Professional		$1,122.02	$1,513.56	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,265.80 / $5,623.41	Facility		$2,691.53	$4,265.80	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,187.76 / $2,398.83	Professional		$2,137.96	$2,187.76	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $1,778.28	Facility		$1,258.93	$1,548.82	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,238.72	Professional		$1,122.02	$1,122.02	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $1,584.89	Professional		$1,148.15	$1,258.93	$1,584.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,511.89 / $3,981.07	Facility		$1,071.52	$2,511.89	$3,981.07
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 $794.33 / $1,174.90 / $2,290.87	Facility		$794.33	$1,174.90	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,995.26	Professional		$977.24	$1,348.96	$1,995.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $14,791.08	Facility		$14,791.08	$14,791.08	$14,791.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $17,782.79	Professional		$15,135.61	$15,135.61	$17,782.79