Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,586.80 / $1,586.80 / $3,220.36	Facility		$1,586.80	$1,586.80	$3,220.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.74 / $1,586.80 / $1,586.80	Professional		$953.74	$1,586.80	$1,586.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,709.29 / $2,051.15 / $3,894.64	Facility		$1,709.29	$2,051.15	$3,894.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,215.22 / $1,598.97 / $1,598.97	Professional		$1,215.22	$1,598.97	$1,598.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.77 / $1,620.00 / $1,620.00	Facility		$1,318.77	$1,620.00	$1,620.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,620.00 / $2,903.25	Professional		$1,182.59	$1,620.00	$2,903.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $672.36 / $1,586.80 / $2,525.79	Facility		$672.36	$1,586.80	$2,525.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,199.00 / $1,199.00 / $1,496.00	Professional		$1,199.00	$1,199.00	$1,496.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,505.10 / $2,505.10 / $3,851.70	Professional		$2,505.10	$2,505.10	$3,851.70
United Facility/Professional Professional Modifier Low / Median / High Price $832.80 / $1,063.60 / $1,604.89	Professional		$832.80	$1,063.60	$1,604.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,207.21 / $13,221.44 / $13,221.44	Facility		$4,207.21	$13,221.44	$13,221.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,778.13 / $13,778.13 / $15,657.00	Professional		$13,778.13	$13,778.13	$15,657.00