Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,694.37 / $1,694.37 / $2,922.88	Facility		$1,694.37	$1,694.37	$2,922.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.79 / $1,694.37 / $1,694.37	Professional		$837.79	$1,694.37	$1,694.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,551.41 / $1,861.69 / $3,534.88	Facility		$1,551.41	$1,861.69	$3,534.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,347.16 / $1,451.26 / $1,451.27	Professional		$1,347.16	$1,451.26	$1,451.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,196.94 / $1,206.80 / $1,206.80	Facility		$1,196.94	$1,206.80	$1,206.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $1,206.80 / $2,985.38	Professional		$880.96	$1,206.80	$2,985.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $622.02 / $1,694.37 / $2,202.67	Facility		$622.02	$1,694.37	$2,202.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,088.00 / $1,088.00 / $1,296.67	Professional		$1,088.00	$1,088.00	$1,296.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,819.60 / $2,819.60 / $4,335.30	Professional		$2,819.60	$2,819.60	$4,335.30
United Facility/Professional Professional Modifier Low / Median / High Price $741.68 / $965.36 / $1,514.48	Professional		$741.68	$965.36	$1,514.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,524.52 / $10,300.32 / $10,300.32	Facility		$3,524.52	$10,300.32	$10,300.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,823.90 / $12,823.90 / $17,622.59	Professional		$12,823.90	$12,823.90	$17,622.59