Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,286.90 / $1,286.90 / $2,219.98	Facility		$1,286.90	$1,286.90	$2,219.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.26 / $1,286.90 / $1,286.90	Professional		$638.26	$1,286.90	$1,286.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,338.87 / $2,180.05 / $2,684.79	Facility		$1,338.87	$2,180.05	$2,684.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $837.72 / $1,102.26 / $1,102.26	Professional		$837.72	$1,102.26	$1,102.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $897.58 / $897.58 / $909.12	Facility		$897.58	$897.58	$909.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $727.30 / $1,845.75	Professional		$655.23	$727.30	$1,845.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $462.65 / $1,286.90 / $1,672.97	Facility		$462.65	$1,286.90	$1,672.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $826.00 / $826.00 / $999.29	Professional		$826.00	$826.00	$999.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,723.70 / $1,723.70 / $2,650.30	Professional		$1,723.70	$1,723.70	$2,650.30
United Facility/Professional Facility Modifier Low / Median / High Price $957.27 / $957.27 / $957.27	Facility		$957.27	$957.27	$957.27
United Facility/Professional Professional Modifier Low / Median / High Price $559.54 / $733.21 / $1,079.50	Professional		$559.54	$733.21	$1,079.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,409.59 / $9,097.53 / $9,097.53	Facility		$2,409.59	$9,097.53	$9,097.53
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,193.29 / $9,193.29 / $10,773.38	Professional		$9,193.29	$9,193.29	$10,773.38