Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $1,995.26	Professional		$977.24	$1,445.44	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,388.44 / $4,570.88	Facility		$2,137.96	$3,388.44	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,737.80 / $1,905.46	Professional		$1,698.24	$1,737.80	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $1,513.56	Facility		$1,023.29	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,819.70	Professional		$1,096.48	$1,096.48	$1,819.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $1,548.82	Professional		$1,148.15	$1,258.93	$1,548.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,995.26 / $3,388.44	Facility		$977.24	$1,995.26	$3,388.44
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 $776.25 / $1,148.15 / $1,819.70	Facility		$776.25	$1,148.15	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,698.24	Professional		$870.96	$1,148.15	$1,698.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility		$14,454.40	$14,454.40	$14,454.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,982.44	Professional		$16,595.87	$16,595.87	$16,982.44