Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,492.90 / $2,492.90 / $4,300.43	Facility		$2,492.90	$2,492.90	$4,300.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.15 / $2,492.90 / $2,492.90	Professional		$1,133.15	$2,492.90	$2,492.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,593.57 / $4,223.06 / $5,200.81	Facility		$2,593.57	$4,223.06	$5,200.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,622.77 / $2,135.21 / $2,135.21	Professional		$1,622.77	$2,135.21	$2,135.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $1,761.07	Facility		$1,549.06	$1,549.06	$1,761.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,549.06 / $3,056.63	Professional		$1,130.81	$1,549.06	$3,056.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $757.80 / $2,490.50 / $3,240.77	Facility		$757.80	$2,490.50	$3,240.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,601.00 / $1,601.00 / $1,935.76	Professional		$1,601.00	$1,601.00	$1,935.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,837.20 / $2,837.20 / $4,362.30	Professional		$2,837.20	$2,837.20	$4,362.30
United Facility/Professional Professional Modifier Low / Median / High Price $978.19 / $1,369.47 / $2,059.46	Professional		$978.19	$1,369.47	$2,059.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,448.37 / $14,901.61 / $14,901.61	Facility		$4,448.37	$14,901.61	$14,901.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,058.46 / $15,058.46 / $17,732.48	Professional		$15,058.46	$15,058.46	$17,732.48