Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,490.86 / $1,490.86 / $3,025.69	Facility		$1,490.86	$1,490.86	$3,025.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $894.60 / $1,490.86 / $1,490.86	Professional		$894.60	$1,490.86	$1,490.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,605.95 / $1,927.14 / $3,659.17	Facility		$1,605.95	$1,927.14	$3,659.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,141.74 / $1,502.30 / $1,502.30	Professional		$1,141.74	$1,502.30	$1,502.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.06 / $1,573.58 / $1,573.58	Facility		$1,239.06	$1,573.58	$1,573.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $1,573.58 / $2,820.00	Professional		$1,148.71	$1,573.58	$2,820.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $587.59 / $1,490.86 / $2,255.71	Facility		$587.59	$1,490.86	$2,255.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,126.00 / $1,126.00 / $1,406.00	Professional		$1,126.00	$1,126.00	$1,406.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,179.40 / $2,179.40 / $3,366.10	Professional		$2,179.40	$2,179.40	$3,366.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,261.08 / $1,261.08 / $1,261.08	Facility		$1,261.08	$1,261.08	$1,261.08
United Facility/Professional Professional Modifier Low / Median / High Price $767.77 / $999.31 / $1,441.10	Professional		$767.77	$999.31	$1,441.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,086.63 / $11,554.47 / $11,554.47	Facility		$4,086.63	$11,554.47	$11,554.47
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,676.10 / $11,676.10 / $13,682.93	Professional		$11,676.10	$11,676.10	$13,682.93