Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,569.87 / $1,569.87 / $3,186.05	Facility		$1,569.87	$1,569.87	$3,186.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.56 / $1,569.87 / $1,569.87	Professional		$943.56	$1,569.87	$1,569.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,921.48 / $3,128.71 / $3,853.09	Facility		$1,921.48	$3,128.71	$3,853.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,468.43 / $1,581.91 / $1,740.10	Professional		$1,468.43	$1,581.91	$1,740.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,304.72 / $1,637.27 / $1,637.27	Facility		$1,304.72	$1,637.27	$1,637.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.21 / $1,637.27 / $2,934.00	Professional		$1,195.21	$1,637.27	$2,934.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $660.62 / $1,569.87 / $2,375.27	Facility		$660.62	$1,569.87	$2,375.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,186.00 / $1,186.00 / $1,480.00	Professional		$1,186.00	$1,186.00	$1,480.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,456.60 / $2,456.60 / $3,784.50	Professional		$2,456.60	$2,456.60	$3,784.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,366.91 / $1,366.91 / $1,366.91	Facility		$1,366.91	$1,366.91	$1,366.91
United Facility/Professional Professional Modifier Low / Median / High Price $852.74 / $1,052.26 / $1,576.86	Professional		$852.74	$1,052.26	$1,576.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,549.70 / $12,990.49 / $12,990.49	Facility		$4,549.70	$12,990.49	$12,990.49
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,728.46 / $14,728.46 / $15,383.48	Professional		$14,728.46	$14,728.46	$15,383.48