Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,647.85 / $1,647.85 / $2,842.64	Facility		$1,647.85	$1,647.85	$2,842.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.34 / $1,647.85 / $1,647.85	Professional		$862.34	$1,647.85	$1,647.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,508.80 / $1,810.56 / $3,437.82	Facility		$1,508.80	$1,810.56	$3,437.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,072.68 / $1,411.42 / $1,411.42	Professional		$1,072.68	$1,411.42	$1,411.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,164.09 / $1,277.46 / $1,277.46	Facility		$1,164.09	$1,277.46	$1,277.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $1,277.46 / $2,407.50	Professional		$932.55	$1,277.46	$2,407.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $606.11 / $1,647.85 / $2,169.19	Facility		$606.11	$1,647.85	$2,169.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,058.00 / $1,058.00 / $1,279.56	Professional		$1,058.00	$1,058.00	$1,279.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,008.50 / $3,008.50 / $4,629.60	Professional		$3,008.50	$3,008.50	$4,629.60
United Facility/Professional Professional Modifier Low / Median / High Price $716.48 / $938.86 / $1,424.47	Professional		$716.48	$938.86	$1,424.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,763.79 / $11,918.65 / $11,918.65	Facility		$3,763.79	$11,918.65	$11,918.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,434.81 / $12,434.81 / $18,818.93	Professional		$12,434.81	$12,434.81	$18,818.93