Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,695.12 / $1,695.12 / $3,440.22	Facility		$1,695.12	$1,695.12	$3,440.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,113.33 / $1,695.12 / $1,695.12	Professional		$1,113.33	$1,695.12	$1,695.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,825.99 / $2,191.19 / $4,160.52	Facility		$1,825.99	$2,191.19	$4,160.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,585.60 / $1,708.12 / $1,708.13	Professional		$1,585.60	$1,708.12	$1,708.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.81 / $1,654.54 / $1,654.54	Facility		$1,408.81	$1,654.54	$1,654.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.81 / $1,654.54 / $2,780.63	Professional		$1,207.81	$1,654.54	$2,780.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $733.52 / $1,695.12 / $2,564.76	Facility		$733.52	$1,695.12	$2,564.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,281.00 / $1,281.00 / $1,598.00	Professional		$1,281.00	$1,281.00	$1,598.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,932.90 / $2,932.90 / $4,509.50	Professional		$2,932.90	$2,932.90	$4,509.50
United Facility/Professional Professional Modifier Low / Median / High Price $946.85 / $1,141.04 / $1,782.54	Professional		$946.85	$1,141.04	$1,782.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,359.97 / $14,424.18 / $14,424.18	Facility		$5,359.97	$14,424.18	$14,424.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $17,351.09 / $17,351.09 / $18,330.68	Professional		$17,351.09	$17,351.09	$18,330.68