Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,464.54 / $1,464.54 / $2,526.41	Facility		$1,464.54	$1,464.54	$2,526.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.66 / $1,464.54 / $1,464.54	Professional		$674.66	$1,464.54	$1,464.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,340.96 / $1,609.15 / $3,055.39	Facility		$1,340.96	$1,609.15	$3,055.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,164.42 / $1,254.40 / $1,254.41	Professional		$1,164.42	$1,254.40	$1,254.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.35 / $837.35 / $1,034.59	Facility		$837.35	$837.35	$1,034.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.27 / $837.35 / $1,553.63	Professional		$611.27	$837.35	$1,553.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $431.60 / $1,457.00 / $1,903.90	Facility		$431.60	$1,457.00	$1,903.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $940.00 / $940.00 / $1,137.22	Professional		$940.00	$940.00	$1,137.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.10 / $1,608.10 / $2,472.50	Professional		$1,608.10	$1,608.10	$2,472.50
United Facility/Professional Facility Modifier Low / Median / High Price $515.10 / $653.72 / $779.97	Facility		$515.10	$653.72	$779.97
United Facility/Professional Professional Modifier Low / Median / High Price $557.12 / $799.41 / $1,178.15	Professional		$557.12	$799.41	$1,178.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,613.34 / $8,487.06 / $8,487.06	Facility		$2,613.34	$8,487.06	$8,487.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,306.84 / $11,306.84 / $11,306.84	Professional		$11,306.84	$11,306.84	$11,306.84