Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,417.60 / $1,417.60 / $2,877.01	Facility		$1,417.60	$1,417.60	$2,877.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.04 / $1,417.60 / $1,417.60	Professional		$852.04	$1,417.60	$1,417.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.11 / $2,825.26 / $3,479.39	Facility		$1,735.11	$2,825.26	$3,479.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,326.01 / $1,428.48 / $1,428.48	Professional		$1,326.01	$1,428.48	$1,428.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $1,551.30	Facility		$1,551.30	$1,551.30	$1,551.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,551.30 / $2,780.25	Professional		$1,132.45	$1,551.30	$2,780.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $613.44 / $1,417.60 / $2,287.87	Facility		$613.44	$1,417.60	$2,287.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,393.72 / $1,393.72 / $1,393.72	Professional		$1,393.72	$1,393.72	$1,393.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,039.20 / $3,039.20 / $4,685.60	Professional		$3,039.20	$3,039.20	$4,685.60
United Facility/Professional Professional Modifier Low / Median / High Price $791.84 / $950.20 / $1,490.71	Professional		$791.84	$950.20	$1,490.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,028.82 / $9,894.54 / $9,894.54	Facility		$4,028.82	$9,894.54	$9,894.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,189.70 / $19,046.40 / $19,046.40	Professional		$12,189.70	$19,046.40	$19,046.40