Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.91 / $1,514.91 / $3,074.50	Facility		$1,514.91	$1,514.91	$3,074.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.51 / $1,514.91 / $1,514.91	Professional		$961.51	$1,514.91	$1,514.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,854.21 / $3,019.19 / $3,718.22	Facility		$1,854.21	$3,019.19	$3,718.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,160.17 / $1,526.54 / $1,526.54	Professional		$1,160.17	$1,526.54	$1,526.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,259.04 / $1,271.83 / $1,271.83	Facility		$1,259.04	$1,271.83	$1,271.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $1,271.83 / $2,707.13	Professional		$928.44	$1,271.83	$2,707.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $655.54 / $1,514.91 / $2,382.98	Facility		$655.54	$1,514.91	$2,382.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,144.00 / $1,144.00 / $1,428.00	Professional		$1,144.00	$1,144.00	$1,428.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,731.90 / $2,731.90 / $4,200.50	Professional		$2,731.90	$2,731.90	$4,200.50
United Facility/Professional Professional Modifier Low / Median / High Price $780.15 / $1,015.43 / $1,593.03	Professional		$780.15	$1,015.43	$1,593.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,529.24 / $12,890.74 / $12,890.74	Facility		$4,529.24	$12,890.74	$12,890.74
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,662.04 / $14,662.04 / $17,074.58	Professional		$14,662.04	$14,662.04	$17,074.58