Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,736.25 / $1,736.25 / $3,523.71	Facility		$1,736.25	$1,736.25	$3,523.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,043.57 / $1,736.25 / $1,736.25	Professional		$1,043.57	$1,736.25	$1,736.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,125.13 / $3,460.31 / $4,261.47	Facility		$2,125.13	$3,460.31	$4,261.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,329.68 / $1,749.58 / $1,749.58	Professional		$1,329.68	$1,749.58	$1,749.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,443.00 / $1,823.10 / $1,823.10	Facility		$1,443.00	$1,823.10	$1,823.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $1,823.10 / $3,267.38	Professional		$1,330.86	$1,823.10	$3,267.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $751.32 / $1,736.25 / $2,763.72	Facility		$751.32	$1,736.25	$2,763.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,312.00 / $1,312.00 / $1,637.00	Professional		$1,312.00	$1,312.00	$1,637.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,271.00 / $3,271.00 / $5,029.30	Professional		$3,271.00	$3,271.00	$5,029.30
United Facility/Professional Professional Modifier Low / Median / High Price $969.83 / $1,168.73 / $1,825.79	Professional		$969.83	$1,168.73	$1,825.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,734.66 / $13,402.65 / $13,402.65	Facility		$4,734.66	$13,402.65	$13,402.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,210.51 / $15,210.51 / $20,443.65	Professional		$15,210.51	$15,210.51	$20,443.65