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 $1,174.90 / $1,584.89 / $2,089.30	Professional		$1,174.90	$1,584.89	$2,089.30
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 / $2,344.23	Professional		$2,089.30	$2,137.96	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $3,235.94	Professional		$1,318.26	$1,318.26	$3,235.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $1,819.70	Professional		$1,288.25	$1,380.38	$1,819.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,290.87 / $4,073.80	Facility		$1,148.15	$2,290.87	$4,073.80
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 $1,023.29 / $1,862.09 / $2,238.72	Facility		$1,023.29	$1,862.09	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,949.84	Professional		$1,096.48	$1,380.38	$1,949.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $20,417.38	Professional		$13,803.84	$20,417.38	$20,417.38