Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,142.40 / $2,142.40 / $3,695.79	Facility		$2,142.40	$2,142.40	$3,695.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.96 / $2,142.40 / $2,142.40	Professional		$1,086.96	$2,142.40	$2,142.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,228.91 / $3,629.30 / $4,469.58	Facility		$2,228.91	$3,629.30	$4,469.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,394.61 / $1,835.01 / $1,835.01	Professional		$1,394.61	$1,835.01	$1,835.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.46 / $1,638.80 / $1,638.80	Facility		$1,513.46	$1,638.80	$1,638.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,210.77 / $2,937.00	Professional		$1,196.32	$1,210.77	$2,937.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $783.77 / $2,142.40 / $2,785.12	Facility		$783.77	$2,142.40	$2,785.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,376.00 / $1,376.00 / $1,663.58	Professional		$1,376.00	$1,376.00	$1,663.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,920.20 / $2,920.20 / $4,490.00	Professional		$2,920.20	$2,920.20	$4,490.00
United Facility/Professional Facility Modifier Low / Median / High Price $935.42 / $1,187.15 / $1,376.73	Facility		$935.42	$1,187.15	$1,376.73
United Facility/Professional Professional Modifier Low / Median / High Price $935.42 / $1,220.61 / $1,828.81	Professional		$935.42	$1,220.61	$1,828.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,026.56 / $14,508.26 / $14,508.26	Facility		$4,026.56	$14,508.26	$14,508.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,057.95 / $15,057.95 / $18,251.48	Professional		$15,057.95	$15,057.95	$18,251.48