Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,091.15 / $1,091.15 / $2,214.48	Facility		$1,091.15	$1,091.15	$2,214.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.79 / $1,091.15 / $1,091.15	Professional		$700.79	$1,091.15	$1,091.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,335.54 / $2,174.64 / $2,678.13	Facility		$1,335.54	$2,174.64	$2,678.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.64 / $1,099.52 / $1,099.52	Professional		$835.64	$1,099.52	$1,099.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.85 / $1,105.99 / $1,105.99	Facility		$906.85	$1,105.99	$1,105.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.37 / $1,105.99 / $1,982.25	Professional		$807.37	$1,105.99	$1,982.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $444.65 / $1,091.15 / $1,650.95	Facility		$444.65	$1,091.15	$1,650.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $824.00 / $824.00 / $1,029.00	Professional		$824.00	$824.00	$1,029.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,994.20 / $1,994.20 / $3,066.20	Professional		$1,994.20	$1,994.20	$3,066.20
United Facility/Professional Professional Modifier Low / Median / High Price $561.91 / $731.39 / $1,147.43	Professional		$561.91	$731.39	$1,147.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,872.33 / $7,374.61 / $7,374.61	Facility		$2,872.33	$7,374.61	$7,374.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,124.39 / $8,124.39 / $12,463.80	Professional		$8,124.39	$8,124.39	$12,463.80