Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,883.00 / $1,883.00 / $3,821.53	Facility		$1,883.00	$1,883.00	$3,821.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,297.55 / $1,883.00 / $1,883.00	Professional		$1,297.55	$1,883.00	$1,883.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,028.38 / $2,434.06 / $4,621.64	Facility		$2,028.38	$2,434.06	$4,621.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,442.06 / $1,897.45 / $1,897.45	Professional		$1,442.06	$1,897.45	$1,897.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,523.27 / $1,523.27 / $1,564.96	Facility		$1,523.27	$1,523.27	$1,564.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.99 / $1,523.27 / $3,427.13	Professional		$1,111.99	$1,523.27	$3,427.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $785.15 / $1,883.00 / $2,849.04	Facility		$785.15	$1,883.00	$2,849.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,423.00 / $1,423.00 / $1,775.00	Professional		$1,423.00	$1,423.00	$1,775.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,894.90 / $3,894.90 / $5,997.10	Professional		$3,894.90	$3,894.90	$5,997.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,624.58 / $1,624.58 / $1,624.58	Facility		$1,624.58	$1,624.58	$1,624.58
United Facility/Professional Professional Modifier Low / Median / High Price $969.72 / $1,262.15 / $1,925.62	Professional		$969.72	$1,262.15	$1,925.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,985.83 / $15,439.31 / $15,439.31	Facility		$4,985.83	$15,439.31	$15,439.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $16,140.15 / $16,140.15 / $24,377.85	Professional		$16,140.15	$16,140.15	$24,377.85