Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,719.30 / $1,719.30 / $3,489.32	Facility		$1,719.30	$1,719.30	$3,489.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.38 / $1,719.30 / $1,719.30	Professional		$1,033.38	$1,719.30	$1,719.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,852.04 / $2,222.44 / $4,219.87	Facility		$1,852.04	$2,222.44	$4,219.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,316.69 / $1,732.49 / $1,732.49	Professional		$1,316.69	$1,732.49	$1,732.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,428.92 / $1,964.43 / $1,964.43	Facility		$1,428.92	$1,964.43	$1,964.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,428.92 / $1,964.43 / $3,520.50	Professional		$1,428.92	$1,964.43	$3,520.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $743.99 / $1,719.30 / $2,736.73	Facility		$743.99	$1,719.30	$2,736.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,299.00 / $1,299.00 / $1,621.00	Professional		$1,299.00	$1,299.00	$1,621.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,695.30 / $3,695.30 / $5,682.80	Professional		$3,695.30	$3,695.30	$5,682.80
United Facility/Professional Professional Modifier Low / Median / High Price $885.41 / $1,152.43 / $1,775.86	Professional		$885.41	$1,152.43	$1,775.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,101.71 / $12,160.93 / $12,160.93	Facility		$5,101.71	$12,160.93	$12,160.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,783.95 / $14,783.95 / $23,099.93	Professional		$14,783.95	$14,783.95	$23,099.93