Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,439.31 / $1,439.31 / $2,921.05	Facility		$1,439.31	$1,439.31	$2,921.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.09 / $1,439.31 / $1,439.31	Professional		$865.09	$1,439.31	$1,439.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,550.44 / $1,860.53 / $3,532.65	Facility		$1,550.44	$1,860.53	$3,532.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,346.31 / $1,450.35 / $1,595.39	Professional		$1,346.31	$1,450.35	$1,595.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,196.20 / $1,226.77 / $1,226.77	Facility		$1,196.20	$1,226.77	$1,226.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $1,226.77 / $2,241.75	Professional		$895.54	$1,226.77	$2,241.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $622.83 / $1,439.31 / $2,177.71	Facility		$622.83	$1,439.31	$2,177.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,087.00 / $1,087.00 / $1,357.00	Professional		$1,087.00	$1,087.00	$1,357.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,320.60 / $2,320.60 / $3,568.00	Professional		$2,320.60	$2,320.60	$3,568.00
United Facility/Professional Professional Modifier Low / Median / High Price $803.96 / $964.75 / $1,486.65	Professional		$803.96	$964.75	$1,486.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,867.60 / $11,298.40 / $11,298.40	Facility		$3,867.60	$11,298.40	$11,298.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,840.43 / $12,840.43 / $14,503.50	Professional		$12,840.43	$12,840.43	$14,503.50