Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.78 / $1,022.78 / $2,075.71	Facility		$1,022.78	$1,022.78	$2,075.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.16 / $1,022.78 / $1,022.78	Professional		$638.16	$1,022.78	$1,022.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,251.83 / $2,038.38 / $2,510.32	Facility		$1,251.83	$2,038.38	$2,510.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $956.70 / $1,030.63 / $1,133.69	Professional		$956.70	$1,030.63	$1,133.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $850.03 / $1,036.33 / $1,036.33	Facility		$850.03	$1,036.33	$1,036.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $1,036.33 / $1,857.38	Professional		$756.53	$1,036.33	$1,857.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $442.58 / $1,022.78 / $1,583.27	Facility		$442.58	$1,022.78	$1,583.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $773.00 / $773.00 / $965.00	Professional		$773.00	$773.00	$965.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,647.70 / $1,647.70 / $2,535.40	Professional		$1,647.70	$1,647.70	$2,535.40
United Facility/Professional Professional Modifier Low / Median / High Price $526.71 / $685.56 / $1,085.47	Professional		$526.71	$685.56	$1,085.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,986.19 / $8,703.04 / $8,703.04	Facility		$2,986.19	$8,703.04	$8,703.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,666.95 / $9,666.95 / $10,306.28	Professional		$9,666.95	$9,666.95	$10,306.28