Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,554.00 / $1,554.00 / $3,153.83	Facility		$1,554.00	$1,554.00	$3,153.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.35 / $1,554.00 / $1,554.00	Professional		$1,062.35	$1,554.00	$1,554.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,673.98 / $2,008.77 / $3,814.17	Facility		$1,673.98	$2,008.77	$3,814.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,190.09 / $1,565.93 / $1,565.93	Professional		$1,190.09	$1,565.93	$1,565.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,291.54 / $1,606.19 / $1,606.19	Facility		$1,291.54	$1,606.19	$1,606.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.52 / $1,606.19 / $2,878.50	Professional		$1,172.52	$1,606.19	$2,878.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $672.46 / $1,554.00 / $2,473.62	Facility		$672.46	$1,554.00	$2,473.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.00 / $1,174.00 / $1,465.00	Professional		$1,174.00	$1,174.00	$1,465.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,505.50 / $2,505.50 / $3,852.30	Professional		$2,505.50	$2,505.50	$3,852.30
United Facility/Professional Professional Modifier Low / Median / High Price $815.58 / $1,041.63 / $1,634.14	Professional		$815.58	$1,041.63	$1,634.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,171.34 / $11,244.11 / $11,244.11	Facility		$4,171.34	$11,244.11	$11,244.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,780.11 / $13,780.11 / $15,659.25	Professional		$13,780.11	$13,780.11	$15,659.25