Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,695.63 / $1,695.63 / $2,925.09	Facility		$1,695.63	$1,695.63	$2,925.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.50 / $1,695.63 / $1,695.63	Professional		$877.50	$1,695.63	$1,695.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,552.58 / $1,863.09 / $3,537.51	Facility		$1,552.58	$1,863.09	$3,537.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.16 / $1,452.34 / $1,452.35	Professional		$1,348.16	$1,452.34	$1,452.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,197.85 / $1,399.15 / $1,399.15	Facility		$1,197.85	$1,399.15	$1,399.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,399.15 / $2,507.63	Professional		$1,021.38	$1,399.15	$2,507.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $623.69 / $1,695.63 / $2,204.32	Facility		$623.69	$1,695.63	$2,204.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,089.00 / $1,089.00 / $1,316.67	Professional		$1,089.00	$1,089.00	$1,316.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,998.90 / $2,998.90 / $4,611.00	Professional		$2,998.90	$2,998.90	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $742.24 / $966.08 / $1,515.62	Professional		$742.24	$966.08	$1,515.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,748.67 / $11,200.41 / $11,200.41	Facility		$3,748.67	$11,200.41	$11,200.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,333.02 / $12,333.02 / $18,743.33	Professional		$12,333.02	$12,333.02	$18,743.33