Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,513.56	Professional		$776.25	$1,202.26	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $3,630.78	Facility		$1,698.24	$2,691.53	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,380.38 / $1,513.56	Professional		$1,348.96	$1,380.38	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,348.96 / $1,348.96	Facility		$812.83	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,445.44	Professional		$977.24	$977.24	$1,445.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,202.26 / $1,202.26	Professional		$1,122.02	$1,202.26	$1,202.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,513.56 / $2,630.27	Facility		$794.33	$1,513.56	$2,630.27
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 $758.58 / $1,348.96 / $1,445.44	Facility		$758.58	$1,348.96	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,380.38	Professional		$758.58	$912.01	$1,380.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Facility		$10,964.78	$10,964.78	$10,964.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $16,982.44	Professional		$12,022.64	$12,022.64	$16,982.44