Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,939.10 / $1,939.10 / $3,935.40	Facility		$1,939.10	$1,939.10	$3,935.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.49 / $1,939.10 / $1,939.10	Professional		$1,165.49	$1,939.10	$1,939.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.41 / $3,864.58 / $4,759.34	Facility		$2,373.41	$3,864.58	$4,759.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,485.02 / $1,953.97 / $1,953.97	Professional		$1,485.02	$1,953.97	$1,953.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,486.28 / $1,486.28 / $1,611.59	Facility		$1,486.28	$1,486.28	$1,611.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.98 / $1,486.28 / $3,511.13	Professional		$1,084.98	$1,486.28	$3,511.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $766.08 / $1,939.10 / $2,933.93	Facility		$766.08	$1,939.10	$2,933.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,465.00 / $1,465.00 / $1,828.00	Professional		$1,465.00	$1,465.00	$1,828.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,851.20 / $2,851.20 / $4,388.60	Professional		$2,851.20	$2,851.20	$4,388.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,428.89 / $1,428.89 / $1,428.89	Facility		$1,428.89	$1,428.89	$1,428.89
United Facility/Professional Professional Modifier Low / Median / High Price $998.61 / $1,299.76 / $1,884.65	Professional		$998.61	$1,299.76	$1,884.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,088.10 / $15,064.29 / $15,064.29	Facility		$5,088.10	$15,064.29	$15,064.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,222.86 / $15,222.86 / $17,839.34	Professional		$15,222.86	$15,222.86	$17,839.34