Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,698.24	Professional		$851.14	$1,202.26	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,884.03 / $3,890.45	Facility		$1,819.70	$2,884.03	$3,890.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,479.11 / $1,621.81	Professional		$1,445.44	$1,479.11	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,202.26	Facility		$851.14	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,548.82	Professional		$891.25	$891.25	$1,548.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $977.24 / $1,412.54	Professional		$891.25	$977.24	$1,412.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,698.24 / $2,884.03	Facility		$831.76	$1,698.24	$2,884.03
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 $660.69 / $954.99 / $1,548.82	Facility		$660.69	$954.99	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,412.54	Professional		$741.31	$954.99	$1,412.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility		$11,481.54	$11,481.54	$11,481.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $17,378.01	Professional		$12,882.50	$12,882.50	$17,378.01