Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $2,398.83	Professional		$1,258.93	$1,905.46	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $5,754.40	Facility		$2,398.83	$2,884.03	$5,754.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $1,778.28	Facility		$1,288.25	$1,737.80	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,238.72	Professional		$1,258.93	$1,258.93	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $1,905.46	Professional		$1,584.89	$1,698.24	$1,905.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,398.83 / $4,073.80	Facility		$1,230.27	$2,398.83	$4,073.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,089.30 / $2,290.87	Facility		$1,148.15	$2,089.30	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,137.96	Professional		$1,148.15	$1,445.44	$2,137.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $15,488.17	Facility		$15,488.17	$15,488.17	$15,488.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $22,908.68	Professional		$16,982.44	$16,982.44	$22,908.68