Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,564.69 / $2,564.69 / $5,205.02	Facility		$2,564.69	$2,564.69	$5,205.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,541.50 / $2,564.69 / $2,564.69	Professional		$1,541.50	$2,564.69	$2,564.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,762.70 / $3,315.24 / $6,294.79	Facility		$2,762.70	$3,315.24	$6,294.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,964.11 / $2,584.36 / $2,584.36	Professional		$1,964.11	$2,584.36	$2,584.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.07 / $2,217.07 / $2,217.07	Facility		$2,217.07	$2,217.07	$2,217.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.46 / $2,217.07 / $3,973.13	Professional		$1,618.46	$2,217.07	$3,973.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $986.09 / $2,564.69 / $3,880.46	Facility		$986.09	$2,564.69	$3,880.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,928.00 / $1,928.00 / $2,418.00	Professional		$1,928.00	$1,928.00	$2,418.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,014.20 / $4,014.20 / $6,172.00	Professional		$4,014.20	$4,014.20	$6,172.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,176.86 / $2,018.42 / $2,353.73	Facility		$1,176.86	$2,018.42	$2,353.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,320.78 / $1,719.08 / $2,492.67	Professional		$1,320.78	$1,719.08	$2,492.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,757.86 / $16,018.84 / $16,018.84	Facility		$5,757.86	$16,018.84	$16,018.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $17,255.00 / $17,255.00 / $25,088.48	Professional		$17,255.00	$17,255.00	$25,088.48