Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,290.87	Professional		$1,122.02	$1,479.11	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,570.88 / $6,025.60	Facility		$2,884.03	$4,570.88	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,344.23 / $2,344.23	Professional		$2,290.87	$2,344.23	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $1,905.46	Facility		$1,348.96	$1,659.59	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,290.87	Professional		$1,202.26	$1,202.26	$2,290.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,548.82	Professional		$1,071.52	$1,148.15	$1,548.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,290.87 / $3,981.07	Facility		$1,122.02	$2,290.87	$3,981.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,737.80 / $2,454.71	Facility		$954.99	$1,737.80	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,995.26	Professional		$1,148.15	$1,513.56	$1,995.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Facility		$12,022.64	$12,022.64	$12,022.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $22,908.68	Professional		$14,791.08	$14,791.08	$22,908.68