Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,398.83	Professional		$1,202.26	$1,737.80	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,168.69 / $5,623.41	Facility		$2,630.27	$4,168.69	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,398.83	Professional		$2,137.96	$2,137.96	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $2,290.87 / $2,290.87	Facility		$60.26	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $3,801.89	Professional		$1,659.59	$1,659.59	$3,801.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $1,819.70	Professional		$1,548.82	$1,698.24	$1,819.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,454.71 / $4,168.69	Facility		$1,174.90	$2,454.71	$4,168.69
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 $1,122.02 / $1,995.26 / $2,238.72	Facility		$1,122.02	$1,995.26	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $2,041.74	Professional		$1,122.02	$1,412.54	$2,041.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Facility		$16,982.44	$16,982.44	$16,982.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $19,054.61 / $20,892.96 / $20,892.96	Professional		$19,054.61	$20,892.96	$20,892.96