Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,691.55 / $1,691.55 / $2,918.04	Facility		$1,691.55	$1,691.55	$2,918.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.07 / $1,691.55 / $1,691.55	Professional		$863.07	$1,691.55	$1,691.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.84 / $2,865.54 / $3,528.99	Facility		$1,759.84	$2,865.54	$3,528.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,101.13 / $1,448.85 / $1,448.85	Professional		$1,101.13	$1,448.85	$1,448.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,194.97 / $1,207.09 / $1,207.09	Facility		$1,194.97	$1,207.09	$1,207.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $1,207.09 / $2,239.50	Professional		$881.18	$1,207.09	$2,239.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $622.17 / $1,691.55 / $2,199.02	Facility		$622.17	$1,691.55	$2,199.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,086.00 / $1,086.00 / $1,343.00	Professional		$1,086.00	$1,086.00	$1,343.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,792.80 / $2,792.80 / $4,294.10	Professional		$2,792.80	$2,792.80	$4,294.10
United Facility/Professional Professional Modifier Low / Median / High Price $740.45 / $963.76 / $1,462.25	Professional		$740.45	$963.76	$1,462.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,491.03 / $11,515.43 / $11,515.43	Facility		$3,491.03	$11,515.43	$11,515.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,749.91 / $12,749.91 / $17,455.13	Professional		$12,749.91	$12,749.91	$17,455.13