Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.04 / $1,352.04 / $2,743.93	Facility		$1,352.04	$1,352.04	$2,743.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.02 / $1,352.04 / $1,352.04	Professional		$810.02	$1,352.04	$1,352.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,456.42 / $1,747.70 / $3,318.45	Facility		$1,456.42	$1,747.70	$3,318.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,264.68 / $1,362.40 / $1,362.41	Professional		$1,264.68	$1,362.40	$1,362.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.66 / $1,324.18 / $1,324.18	Facility		$1,123.66	$1,324.18	$1,324.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.65 / $1,324.18 / $2,373.00	Professional		$966.65	$1,324.18	$2,373.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $532.04 / $1,352.04 / $2,045.66	Facility		$532.04	$1,352.04	$2,045.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,021.00 / $1,021.00 / $1,275.00	Professional		$1,021.00	$1,021.00	$1,275.00
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 Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
United Facility/Professional Professional Modifier Low / Median / High Price $696.27 / $906.25 / $1,314.07	Professional		$696.27	$906.25	$1,314.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,438.96 / $8,810.16 / $8,810.16	Facility		$3,438.96	$8,810.16	$8,810.16
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,968.65 / $10,968.65 / $12,463.80	Professional		$10,968.65	$10,968.65	$12,463.80