Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,831.67 / $1,831.67 / $3,717.35	Facility		$1,831.67	$1,831.67	$3,717.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,100.92 / $1,831.67 / $1,831.67	Professional		$1,100.92	$1,831.67	$1,831.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,973.07 / $2,367.69 / $4,495.68	Facility		$1,973.07	$2,367.69	$4,495.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,713.33 / $1,845.73 / $2,030.30	Professional		$1,713.33	$1,845.73	$2,030.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $1,366.32	Facility		$1,366.32	$1,366.32	$1,366.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $1,366.32 / $2,837.63	Professional		$997.41	$1,366.32	$2,837.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $739.46 / $1,831.67 / $2,577.12	Facility		$739.46	$1,831.67	$2,577.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,849.43 / $1,849.43 / $1,849.43	Professional		$1,849.43	$1,849.43	$1,849.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,866.80 / $2,866.80 / $4,407.89	Professional		$2,866.80	$2,866.80	$4,407.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,017.19 / $1,227.75 / $1,780.24	Professional		$1,017.19	$1,227.75	$1,780.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,112.12 / $11,410.07 / $11,410.07	Facility		$4,112.12	$11,410.07	$11,410.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,323.41 / $17,917.73 / $17,917.73	Professional		$12,323.41	$17,917.73	$17,917.73