Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,914.94 / $1,914.94 / $3,303.39	Facility		$1,914.94	$1,914.94	$3,303.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.67 / $1,914.94 / $1,914.94	Professional		$933.67	$1,914.94	$1,914.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,992.26 / $3,243.97 / $3,995.04	Facility		$1,992.26	$3,243.97	$3,995.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,522.53 / $1,640.19 / $1,640.19	Professional		$1,522.53	$1,640.19	$1,640.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,540.39 / $1,540.39 / $1,540.39	Facility		$1,540.39	$1,540.39	$1,540.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,540.39 / $2,521.50	Professional		$1,124.48	$1,540.39	$2,521.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $625.83 / $1,914.94 / $2,626.94	Facility		$625.83	$1,914.94	$2,626.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,600.27 / $1,600.27 / $1,600.27	Professional		$1,600.27	$1,600.27	$1,600.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,547.60 / $2,547.60 / $3,917.00	Professional		$2,547.60	$2,547.60	$3,917.00
United Facility/Professional Professional Modifier Low / Median / High Price $802.34 / $1,076.22 / $1,540.48	Professional		$802.34	$1,076.22	$1,540.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,417.06 / $10,128.96 / $10,128.96	Facility		$3,417.06	$10,128.96	$10,128.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,951.02 / $15,922.50 / $15,922.50	Professional		$10,951.02	$15,922.50	$15,922.50