Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,149.73 / $2,149.73 / $4,362.89	Facility		$2,149.73	$2,149.73	$4,362.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,292.08 / $2,149.73 / $2,149.73	Professional		$1,292.08	$2,149.73	$2,149.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,315.71 / $2,778.85 / $5,276.31	Facility		$2,315.71	$2,778.85	$5,276.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,646.33 / $2,166.21 / $2,166.21	Professional		$1,646.33	$2,166.21	$2,166.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,743.07 / $1,743.07 / $1,786.64	Facility		$1,743.07	$1,743.07	$1,786.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $1,429.31 / $3,818.25	Professional		$1,272.44	$1,429.31	$3,818.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $898.44 / $2,149.73 / $3,411.85	Facility		$898.44	$2,149.73	$3,411.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,624.00 / $1,624.00 / $2,027.00	Professional		$1,624.00	$1,624.00	$2,027.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,650.30 / $3,650.30 / $5,612.50	Professional		$3,650.30	$3,650.30	$5,612.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,159.73 / $1,440.94 / $2,203.48	Professional		$1,159.73	$1,440.94	$2,203.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,533.40 / $15,327.35 / $15,327.35	Facility		$5,533.40	$15,327.35	$15,327.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $16,888.66 / $16,888.66 / $22,814.25	Professional		$16,888.66	$16,888.66	$22,814.25