Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,648.35 / $2,648.35 / $4,568.55	Facility		$2,648.35	$2,648.35	$4,568.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.26 / $2,648.35 / $2,648.35	Professional		$1,291.26	$2,648.35	$2,648.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,755.28 / $4,486.39 / $5,525.12	Facility		$2,755.28	$4,486.39	$5,525.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,723.97 / $2,268.38 / $2,268.38	Professional		$1,723.97	$2,268.38	$2,268.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $1,815.81 / $1,815.81	Facility		$1,347.00	$1,815.81	$1,815.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,815.81 / $3,733.50	Professional		$1,325.54	$1,815.81	$3,733.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $935.93 / $2,648.35 / $3,442.86	Facility		$935.93	$2,648.35	$3,442.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,701.00 / $1,701.00 / $2,056.44	Professional		$1,701.00	$1,701.00	$2,056.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,541.20 / $3,541.20 / $5,444.80	Professional		$3,541.20	$3,541.20	$5,444.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,151.50 / $1,508.89 / $2,367.17	Professional		$1,151.50	$1,508.89	$2,367.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,851.93 / $18,404.34 / $18,404.34	Facility		$4,851.93	$18,404.34	$18,404.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $19,418.09 / $19,418.09 / $22,132.73	Professional		$19,418.09	$19,418.09	$22,132.73