Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.92 / $1,621.92 / $2,797.94	Facility		$1,621.92	$1,621.92	$2,797.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.80 / $1,621.92 / $1,621.92	Professional		$790.80	$1,621.92	$1,621.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,485.10 / $1,782.12 / $3,383.73	Facility		$1,485.10	$1,782.12	$3,383.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,289.56 / $1,389.21 / $1,389.21	Professional		$1,289.56	$1,389.21	$1,389.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,191.78 / $1,191.78 / $1,191.78	Facility		$1,191.78	$1,191.78	$1,191.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $1,191.78 / $2,135.63	Professional		$870.00	$1,191.78	$2,135.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $530.05 / $1,621.92 / $2,224.98	Facility		$530.05	$1,621.92	$2,224.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,355.41 / $1,355.41 / $1,355.41	Professional		$1,355.41	$1,355.41	$1,355.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,157.80 / $2,157.80 / $3,317.70	Professional		$2,157.80	$2,157.80	$3,317.70
United Facility/Professional Professional Modifier Low / Median / High Price $679.57 / $915.84 / $1,304.76	Professional		$679.57	$915.84	$1,304.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,894.19 / $8,579.00 / $8,579.00	Facility		$2,894.19	$8,579.00	$8,579.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,275.29 / $13,485.98 / $13,485.98	Professional		$9,275.29	$13,485.98	$13,485.98