Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $2,344.23	Professional		$1,202.26	$1,862.09	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,754.23 / $5,495.41	Facility		$2,290.87	$2,754.23	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,137.96 / $2,137.96	Professional		$2,089.30	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $2,137.96	Facility		$1,230.27	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,290.87	Professional		$1,548.82	$1,548.82	$2,290.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,862.09	Professional		$1,412.54	$1,513.56	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,344.23 / $3,981.07	Facility		$1,202.26	$2,344.23	$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 $1,148.15 / $2,089.30 / $2,238.72	Facility		$1,148.15	$2,089.30	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,137.96	Professional		$1,148.15	$1,380.38	$2,137.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Facility		$17,782.79	$17,782.79	$17,782.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $24,547.09	Professional		$18,620.87	$18,620.87	$24,547.09