Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,481.72 / $1,481.72 / $2,556.08	Facility		$1,481.72	$1,481.72	$2,556.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.95 / $1,481.72 / $1,481.72	Professional		$714.95	$1,481.72	$1,481.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,356.70 / $1,628.04 / $3,091.23	Facility		$1,356.70	$1,628.04	$3,091.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $964.54 / $1,269.13 / $1,269.13	Professional		$964.54	$1,269.13	$1,269.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,046.74 / $1,149.77 / $1,149.77	Facility		$1,046.74	$1,149.77	$1,149.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.33 / $1,149.77 / $2,060.63	Professional		$839.33	$1,149.77	$2,060.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $478.13 / $1,481.72 / $1,926.24	Facility		$478.13	$1,481.72	$1,926.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $951.00 / $951.00 / $1,150.56	Professional		$951.00	$951.00	$1,150.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.60 / $1,778.60 / $2,739.00	Professional		$1,778.60	$1,778.60	$2,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.17 / $836.68 / $1,191.98	Professional		$617.17	$836.68	$1,191.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,644.02 / $9,402.01 / $9,402.01	Facility		$2,644.02	$9,402.01	$9,402.01
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,480.88 / $13,480.88 / $13,480.88	Professional		$13,480.88	$13,480.88	$13,480.88