Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,288.25	Professional		$660.69	$977.24	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $3,090.30	Facility		$1,445.44	$2,290.87	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,174.90 / $1,288.25	Professional		$1,148.15	$1,174.90	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $2,089.30	Professional		$912.01	$912.01	$2,089.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $1,202.26	Professional		$794.33	$851.14	$1,202.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,318.26 / $2,290.87	Facility		$645.65	$1,318.26	$2,290.87
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 $645.65 / $1,148.15 / $1,230.27	Facility		$645.65	$1,148.15	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $1,174.90	Professional		$645.65	$776.25	$1,174.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $12,302.69 / $12,302.69	Professional		$9,549.93	$12,302.69	$12,302.69