Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,686.68 / $1,686.68 / $2,909.62	Facility		$1,686.68	$1,686.68	$2,909.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.66 / $1,686.68 / $1,686.68	Professional		$831.66	$1,686.68	$1,686.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,754.77 / $2,857.29 / $3,518.83	Facility		$1,754.77	$2,857.29	$3,518.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,097.96 / $1,444.68 / $1,444.68	Professional		$1,097.96	$1,444.68	$1,444.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.51 / $1,172.51 / $1,191.54	Facility		$1,172.51	$1,172.51	$1,191.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $1,172.51 / $2,316.38	Professional		$855.93	$1,172.51	$2,316.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $604.35 / $1,686.68 / $2,192.67	Facility		$604.35	$1,686.68	$2,192.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,083.00 / $1,083.00 / $1,309.71	Professional		$1,083.00	$1,083.00	$1,309.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,959.20 / $2,959.20 / $4,549.80	Professional		$2,959.20	$2,959.20	$4,549.80
United Facility/Professional Professional Modifier Low / Median / High Price $738.32 / $960.98 / $1,507.61	Professional		$738.32	$960.98	$1,507.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,698.97 / $11,884.17 / $11,884.17	Facility		$3,698.97	$11,884.17	$11,884.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,009.26 / $12,009.26 / $18,494.84	Professional		$12,009.26	$12,009.26	$18,494.84