Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,690.94 / $1,690.94 / $2,916.99	Facility		$1,690.94	$1,690.94	$2,916.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.46 / $1,690.94 / $1,690.94	Professional		$824.46	$1,690.94	$1,690.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.26 / $1,857.92 / $3,527.72	Facility		$1,548.26	$1,857.92	$3,527.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,344.43 / $1,448.33 / $1,544.88	Professional		$1,344.43	$1,448.33	$1,544.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.01 / $1,107.01 / $1,194.53	Facility		$1,107.01	$1,107.01	$1,194.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $1,194.53 / $1,800.06	Professional		$808.12	$1,194.53	$1,800.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $570.59 / $1,690.94 / $2,198.21	Facility		$570.59	$1,690.94	$2,198.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,086.00 / $1,086.00 / $1,313.02	Professional		$1,086.00	$1,086.00	$1,313.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,885.84 / $2,085.59 / $3,239.00	Professional		$1,885.84	$2,085.59	$3,239.00
United Facility/Professional Professional Modifier Low / Median / High Price $731.53 / $963.41 / $1,360.28	Professional		$731.53	$963.41	$1,360.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,049.64 / $10,211.21 / $10,211.21	Facility		$3,049.64	$10,211.21	$10,211.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,304.00 / $11,304.00 / $14,700.08	Professional		$11,304.00	$11,304.00	$14,700.08