Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,270.96 / $2,270.96 / $4,608.89	Facility		$2,270.96	$2,270.96	$4,608.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,221.41 / $2,270.96 / $2,270.96	Professional		$1,221.41	$2,270.96	$2,270.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.60 / $4,526.00 / $5,573.89	Facility		$2,779.60	$4,526.00	$5,573.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,739.18 / $2,288.39 / $2,288.39	Professional		$1,739.18	$2,288.39	$2,288.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,665.63 / $1,665.63 / $1,887.40	Facility		$1,665.63	$1,665.63	$1,887.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.91 / $1,665.63 / $2,985.00	Professional		$1,215.91	$1,665.63	$2,985.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $737.03 / $2,270.96 / $3,436.04	Facility		$737.03	$2,270.96	$3,436.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,716.00 / $1,716.00 / $2,141.00	Professional		$1,716.00	$1,716.00	$2,141.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,652.30 / $3,652.30 / $5,629.60	Professional		$3,652.30	$3,652.30	$5,629.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,141.66 / $1,522.21 / $2,207.19	Professional		$1,141.66	$1,522.21	$2,207.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,767.49 / $12,133.56 / $12,133.56	Facility		$4,767.49	$12,133.56	$12,133.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,645.71 / $14,645.71 / $22,883.93	Professional		$14,645.71	$14,645.71	$22,883.93