Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,356.24 / $1,356.24 / $2,752.49	Facility		$1,356.24	$1,356.24	$2,752.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $867.87 / $1,356.24 / $1,356.24	Professional		$867.87	$1,356.24	$1,356.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,460.97 / $1,753.16 / $3,328.78	Facility		$1,460.97	$1,753.16	$3,328.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,038.65 / $1,366.65 / $1,366.65	Professional		$1,038.65	$1,366.65	$1,366.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,127.19 / $1,473.53 / $1,473.53	Facility		$1,127.19	$1,473.53	$1,473.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,473.53 / $2,640.75	Professional		$1,075.68	$1,473.53	$2,640.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $552.91 / $1,356.24 / $2,052.05	Facility		$552.91	$1,356.24	$2,052.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,025.00 / $1,025.00 / $1,279.00	Professional		$1,025.00	$1,025.00	$1,279.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,626.40 / $2,626.40 / $4,038.20	Professional		$2,626.40	$2,626.40	$4,038.20
United Facility/Professional Professional Modifier Low / Median / High Price $698.45 / $909.07 / $1,426.19	Professional		$698.45	$909.07	$1,426.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,826.80 / $10,872.75 / $10,872.75	Facility		$3,826.80	$10,872.75	$10,872.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,987.20 / $10,987.20 / $16,415.03	Professional		$10,987.20	$10,987.20	$16,415.03