Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,696.98 / $1,696.98 / $3,444.01	Facility		$1,696.98	$1,696.98	$3,444.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.97 / $1,696.98 / $1,696.98	Professional		$1,019.97	$1,696.98	$1,696.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,827.98 / $2,193.58 / $4,165.09	Facility		$1,827.98	$2,193.58	$4,165.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,299.59 / $1,710.00 / $1,710.00	Professional		$1,299.59	$1,710.00	$1,710.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,410.35 / $1,424.68 / $1,424.68	Facility		$1,410.35	$1,424.68	$1,424.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,128.28 / $3,478.88	Professional		$1,040.02	$1,128.28	$3,478.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $734.33 / $1,696.98 / $2,701.20	Facility		$734.33	$1,696.98	$2,701.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,282.00 / $1,282.00 / $1,600.00	Professional		$1,282.00	$1,282.00	$1,600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,191.90 / $3,191.90 / $4,907.80	Professional		$3,191.90	$3,191.90	$4,907.80
United Facility/Professional Professional Modifier Low / Median / High Price $947.89 / $1,137.47 / $1,752.80	Professional		$947.89	$1,137.47	$1,752.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,041.38 / $14,394.16 / $14,394.16	Facility		$5,041.38	$14,394.16	$14,394.16
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,545.68 / $14,545.68 / $19,949.63	Professional		$14,545.68	$14,545.68	$19,949.63