Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,521.25 / $1,521.25 / $3,087.36	Facility		$1,521.25	$1,521.25	$3,087.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $998.62 / $1,521.25 / $1,521.25	Professional		$998.62	$1,521.25	$1,521.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,861.98 / $3,031.81 / $3,733.75	Facility		$1,861.98	$3,031.81	$3,733.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,165.02 / $1,532.92 / $1,532.92	Professional		$1,165.02	$1,532.92	$1,532.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.31 / $1,367.82 / $1,367.82	Facility		$1,264.31	$1,367.82	$1,367.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $1,367.82 / $2,451.38	Professional		$998.51	$1,367.82	$2,451.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $658.29 / $1,521.25 / $2,301.69	Facility		$658.29	$1,521.25	$2,301.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,149.00 / $1,149.00 / $1,434.00	Professional		$1,149.00	$1,149.00	$1,434.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,041.10 / $3,041.10 / $4,675.89	Professional		$3,041.10	$3,041.10	$4,675.89
United Facility/Professional Facility Modifier Low / Median / High Price $785.65 / $1,347.44 / $1,571.29	Facility		$785.65	$1,347.44	$1,571.29
United Facility/Professional Professional Modifier Low / Median / High Price $849.73 / $1,019.68 / $1,599.70	Professional		$849.73	$1,019.68	$1,599.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,087.79 / $10,228.89 / $10,228.89	Facility		$4,087.79	$10,228.89	$10,228.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,164.54 / $12,164.54 / $19,007.09	Professional		$12,164.54	$12,164.54	$19,007.09