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 / $1,288.25 / $1,995.26	Professional		$977.24	$1,288.25	$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 $1,737.80 / $1,737.80 / $1,949.84	Professional		$1,737.80	$1,737.80	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,548.82	Facility		$1,023.29	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,698.24	Professional		$1,122.02	$1,122.02	$1,698.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $1,348.96	Professional		$1,148.15	$1,258.93	$1,348.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,995.26 / $3,162.28	Facility		$912.01	$1,995.26	$3,162.28
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 $676.08 / $1,000.00 / $1,819.70	Facility		$676.08	$1,000.00	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,621.81	Professional		$831.76	$1,122.02	$1,621.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $15,488.17	Professional		$15,488.17	$15,488.17	$15,488.17