Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,990.34 / $1,990.34 / $3,433.46	Facility		$1,990.34	$1,990.34	$3,433.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.36 / $1,990.34 / $1,990.34	Professional		$964.36	$1,990.34	$1,990.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,070.71 / $3,371.70 / $4,152.34	Facility		$2,070.71	$3,371.70	$4,152.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,582.48 / $1,704.76 / $1,704.77	Professional		$1,582.48	$1,704.76	$1,704.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.41 / $1,179.41 / $1,406.05	Facility		$1,179.41	$1,179.41	$1,406.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $1,179.41 / $2,188.13	Professional		$860.97	$1,179.41	$2,188.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $607.91 / $1,980.10 / $2,587.44	Facility		$607.91	$1,980.10	$2,587.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,278.00 / $1,278.00 / $1,545.51	Professional		$1,278.00	$1,278.00	$1,545.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,911.30 / $2,911.30 / $4,476.30	Professional		$2,911.30	$2,911.30	$4,476.30
United Facility/Professional Professional Modifier Low / Median / High Price $784.70 / $1,098.58 / $1,601.13	Professional		$784.70	$1,098.58	$1,601.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,639.14 / $10,066.52 / $10,066.52	Facility		$3,639.14	$10,066.52	$10,066.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,532.82 / $12,532.82 / $18,195.68	Professional		$12,532.82	$12,532.82	$18,195.68