Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,804.69 / $1,804.69 / $3,662.58	Facility		$1,804.69	$1,804.69	$3,662.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.70 / $1,804.69 / $1,804.69	Professional		$1,084.70	$1,804.69	$1,804.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,944.01 / $2,332.81 / $4,429.43	Facility		$1,944.01	$2,332.81	$4,429.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,688.08 / $1,818.52 / $1,818.53	Professional		$1,688.08	$1,818.52	$1,818.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.19 / $1,346.19 / $1,346.19	Facility		$1,346.19	$1,346.19	$1,346.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $1,346.19 / $2,796.00	Professional		$982.72	$1,346.19	$2,796.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $693.87 / $1,804.69 / $2,730.54	Facility		$693.87	$1,804.69	$2,730.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,356.00 / $1,356.00 / $1,702.00	Professional		$1,356.00	$1,356.00	$1,702.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,824.60 / $2,824.60 / $4,343.00	Professional		$2,824.60	$2,824.60	$4,343.00
United Facility/Professional Professional Modifier Low / Median / High Price $929.38 / $1,209.66 / $1,754.01	Professional		$929.38	$1,209.66	$1,754.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,051.56 / $11,271.87 / $11,271.87	Facility		$4,051.56	$11,271.87	$11,271.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,141.34 / $12,141.34 / $17,653.95	Professional		$12,141.34	$12,141.34	$17,653.95