Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,659.59	Professional		$812.83	$1,148.15	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,818.38 / $3,715.35	Facility		$1,778.28	$2,818.38	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,445.44 / $1,584.89	Professional		$1,412.54	$1,445.44	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,174.90 / $1,174.90	Facility		$398.11	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $2,137.96	Professional		$870.96	$870.96	$2,137.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $1,230.27	Professional		$870.96	$933.25	$1,230.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,659.59 / $2,754.23	Facility		$776.25	$1,659.59	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1,819.70 / $1,949.84	Professional		$0.60	$1,819.70	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $891.25 / $1,513.56	Facility		$602.56	$891.25	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,348.96	Professional		$724.44	$933.25	$1,348.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $13,803.84	Professional		$11,748.98	$11,748.98	$13,803.84