Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.88 / $1,148.88 / $2,331.64	Facility		$1,148.88	$1,148.88	$2,331.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.22 / $1,148.88 / $1,148.88	Professional		$788.22	$1,148.88	$1,148.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.19 / $2,289.69 / $2,819.81	Facility		$1,406.19	$2,289.69	$2,819.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,074.65 / $1,157.70 / $1,273.47	Professional		$1,074.65	$1,157.70	$1,273.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,260.83	Facility		$1,260.83	$1,260.83	$1,260.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $1,260.83 / $2,074.13	Professional		$920.41	$1,260.83	$2,074.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $497.15 / $1,148.88 / $1,721.17	Facility		$497.15	$1,148.88	$1,721.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,129.52 / $1,129.52 / $1,129.52	Professional		$1,129.52	$1,129.52	$1,129.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,974.40 / $1,974.40 / $3,035.80	Professional		$1,974.40	$1,974.40	$3,035.80
United Facility/Professional Professional Modifier Low / Median / High Price $641.74 / $770.08 / $1,208.11	Professional		$641.74	$770.08	$1,208.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,005.96 / $9,394.98 / $9,394.98	Facility		$3,005.96	$9,394.98	$9,394.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,493.87 / $12,340.05 / $12,340.05	Professional		$9,493.87	$12,340.05	$12,340.05