Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,019.81 / $2,019.81 / $4,099.17	Facility		$2,019.81	$2,019.81	$4,099.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.00 / $2,019.81 / $2,019.81	Professional		$1,214.00	$2,019.81	$2,019.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,472.19 / $4,025.45 / $4,957.45	Facility		$2,472.19	$4,025.45	$4,957.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,889.31 / $2,035.31 / $2,170.98	Professional		$1,889.31	$2,035.31	$2,170.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,482.94 / $1,482.94 / $1,482.94	Facility		$1,482.94	$1,482.94	$1,482.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.50 / $1,482.94 / $3,078.75	Professional		$1,260.50	$1,482.94	$3,078.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $764.36 / $2,019.81 / $3,056.03	Facility		$764.36	$2,019.81	$3,056.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,518.00 / $1,518.00 / $1,903.91	Professional		$1,518.00	$1,518.00	$1,903.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,126.10 / $3,126.10 / $4,806.60	Professional		$3,126.10	$3,126.10	$4,806.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,040.17 / $1,353.86 / $1,963.09	Professional		$1,040.17	$1,353.86	$1,963.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,461.46 / $12,757.93 / $12,757.93	Facility		$4,461.46	$12,757.93	$12,757.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,194.36 / $13,194.36 / $19,538.40	Professional		$13,194.36	$13,194.36	$19,538.40