Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,595.13 / $1,595.13 / $3,237.31	Facility		$1,595.13	$1,595.13	$3,237.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $945.58 / $1,595.13 / $1,595.13	Professional		$945.58	$1,595.13	$1,595.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,952.41 / $3,179.06 / $3,915.10	Facility		$1,952.41	$3,179.06	$3,915.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,221.59 / $1,607.37 / $1,607.37	Professional		$1,221.59	$1,607.37	$1,607.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.82 / $1,132.82 / $1,325.70	Facility		$1,132.82	$1,132.82	$1,325.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $1,060.56 / $2,714.25	Professional		$826.96	$1,060.56	$2,714.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $583.89 / $1,595.13 / $2,413.48	Facility		$583.89	$1,595.13	$2,413.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,205.00 / $1,205.00 / $1,504.00	Professional		$1,205.00	$1,205.00	$1,504.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,556.50 / $2,556.50 / $3,930.70	Professional		$2,556.50	$2,556.50	$3,930.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,052.80 / $1,052.80 / $1,052.80	Facility		$1,052.80	$1,052.80	$1,052.80
United Facility/Professional Professional Modifier Low / Median / High Price $821.46 / $1,073.73 / $1,677.40	Professional		$821.46	$1,073.73	$1,677.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,933.15 / $11,437.15 / $11,437.15	Facility		$3,933.15	$11,437.15	$11,437.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,557.54 / $11,557.54 / $15,977.93	Professional		$11,557.54	$11,557.54	$15,977.93