Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,649.17 / $1,649.17 / $2,844.93	Facility		$1,649.17	$1,649.17	$2,844.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.26 / $1,649.17 / $1,649.17	Professional		$819.26	$1,649.17	$1,649.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,715.76 / $2,793.74 / $3,440.57	Facility		$1,715.76	$2,793.74	$3,440.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,073.54 / $1,412.55 / $1,412.55	Professional		$1,073.54	$1,412.55	$1,412.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,186.93 / $1,186.93	Facility		$1,186.93	$1,186.93	$1,186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $1,186.93 / $2,127.00	Professional		$866.46	$1,186.93	$2,127.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $576.95 / $1,649.17 / $2,143.92	Facility		$576.95	$1,649.17	$2,143.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,059.00 / $1,059.00 / $1,280.58	Professional		$1,059.00	$1,059.00	$1,280.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,940.42 / $2,401.34 / $3,223.11	Professional		$1,940.42	$2,401.34	$3,223.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,193.78 / $1,193.78 / $1,193.78	Facility		$1,193.78	$1,193.78	$1,193.78
United Facility/Professional Professional Modifier Low / Median / High Price $717.06 / $939.61 / $1,362.43	Professional		$717.06	$939.61	$1,362.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,983.85 / $11,345.23 / $11,345.23	Facility		$2,983.85	$11,345.23	$11,345.23
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,732.79 / $11,732.79 / $13,815.00	Professional		$11,732.79	$11,732.79	$13,815.00