Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,002.78 / $2,002.78 / $3,454.95	Facility		$2,002.78	$2,002.78	$3,454.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.50 / $2,002.78 / $2,002.78	Professional		$976.50	$2,002.78	$2,002.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,083.65 / $3,392.78 / $4,178.30	Facility		$2,083.65	$3,392.78	$4,178.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,592.37 / $1,715.42 / $1,886.96	Professional		$1,592.37	$1,715.42	$1,886.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,414.84 / $1,499.97 / $1,499.97	Facility		$1,414.84	$1,499.97	$1,499.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,499.97 / $2,832.38	Professional		$1,094.98	$1,499.97	$2,832.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $736.66 / $2,002.78 / $2,603.61	Facility		$736.66	$2,002.78	$2,603.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,286.00 / $1,286.00 / $1,555.18	Professional		$1,286.00	$1,286.00	$1,555.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,744.70 / $2,744.70 / $4,220.10	Professional		$2,744.70	$2,744.70	$4,220.10
United Facility/Professional Professional Modifier Low / Median / High Price $876.69 / $1,141.07 / $1,718.88	Professional		$876.69	$1,141.07	$1,718.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,875.18 / $14,485.79 / $14,485.79	Facility		$3,875.18	$14,485.79	$14,485.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $16,761.20 / $16,761.20 / $17,154.23	Professional		$16,761.20	$16,761.20	$17,154.23