Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,369.97 / $1,369.97 / $2,780.35	Facility		$1,369.97	$1,369.97	$2,780.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.42 / $1,369.97 / $1,369.97	Professional		$823.42	$1,369.97	$1,369.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,475.74 / $1,770.88 / $3,362.47	Facility		$1,475.74	$1,770.88	$3,362.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,049.16 / $1,380.48 / $1,380.48	Professional		$1,049.16	$1,380.48	$1,380.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,138.58 / $1,408.48 / $1,408.48	Facility		$1,138.58	$1,408.48	$1,408.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,408.48 / $2,317.13	Professional		$1,028.19	$1,408.48	$2,317.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $592.83 / $1,369.97 / $2,180.67	Facility		$592.83	$1,369.97	$2,180.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,035.00 / $1,035.00 / $1,292.00	Professional		$1,035.00	$1,035.00	$1,292.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,734.70 / $2,734.70 / $4,204.80	Professional		$2,734.70	$2,734.70	$4,204.80
United Facility/Professional Professional Modifier Low / Median / High Price $765.23 / $918.28 / $1,440.62	Professional		$765.23	$918.28	$1,440.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,491.67 / $11,657.40 / $11,657.40	Facility		$4,491.67	$11,657.40	$11,657.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,540.27 / $14,540.27 / $17,092.05	Professional		$14,540.27	$14,540.27	$17,092.05