Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,041.74	Professional		$1,047.13	$1,584.89	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,630.78 / $4,786.30	Facility		$2,290.87	$3,630.78	$4,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,862.09 / $2,041.74	Professional		$1,819.70	$1,862.09	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $1,778.28	Facility		$1,071.52	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,995.26	Professional		$1,288.25	$1,288.25	$1,995.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,621.81	Professional		$1,412.54	$1,513.56	$1,621.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $3,467.37	Facility		$1,047.13	$2,041.74	$3,467.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $1,949.84	Facility		$1,000.00	$1,819.70	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,862.09	Professional		$1,000.00	$1,202.26	$1,862.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $14,791.08	Facility		$14,791.08	$14,791.08	$14,791.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $20,417.38	Professional		$15,488.17	$15,488.17	$20,417.38