Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.32 / $1,147.32 / $2,328.48	Facility		$1,147.32	$1,147.32	$2,328.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.59 / $1,147.32 / $1,147.32	Professional		$689.59	$1,147.32	$1,147.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,404.32 / $2,286.59 / $2,816.00	Facility		$1,404.32	$2,286.59	$2,816.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,073.19 / $1,156.11 / $1,156.13	Professional		$1,073.19	$1,156.11	$1,156.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.54 / $963.22 / $963.22	Facility		$953.54	$963.22	$963.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $963.22 / $2,064.00	Professional		$703.15	$963.22	$2,064.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $496.48 / $1,147.32 / $1,735.94	Facility		$496.48	$1,147.32	$1,735.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $867.00 / $867.00 / $1,082.00	Professional		$867.00	$867.00	$1,082.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,849.80 / $1,849.80 / $2,844.20	Professional		$1,849.80	$1,849.80	$2,844.20
United Facility/Professional Professional Modifier Low / Median / High Price $640.87 / $772.30 / $1,206.50	Professional		$640.87	$772.30	$1,206.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,990.79 / $9,722.68 / $9,722.68	Facility		$2,990.79	$9,722.68	$9,722.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,112.74 / $10,112.74 / $11,561.25	Professional		$10,112.74	$10,112.74	$11,561.25