Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,743.23 / $1,743.23 / $3,537.88	Facility		$1,743.23	$1,743.23	$3,537.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.76 / $1,743.23 / $1,743.23	Professional		$1,047.76	$1,743.23	$1,743.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,133.69 / $3,474.22 / $4,278.60	Facility		$2,133.69	$3,474.22	$4,278.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,630.59 / $1,756.60 / $1,873.70	Professional		$1,630.59	$1,756.60	$1,873.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $1,800.00	Facility		$1,800.00	$1,800.00	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,800.00 / $2,700.75	Professional		$1,530.00	$1,800.00	$2,700.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $670.42 / $1,743.23 / $2,637.57	Facility		$670.42	$1,743.23	$2,637.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,310.00 / $1,310.00 / $1,643.21	Professional		$1,310.00	$1,310.00	$1,643.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,728.40 / $2,728.40 / $4,195.10	Professional		$2,728.40	$2,728.40	$4,195.10
United Facility/Professional Professional Modifier Low / Median / High Price $897.74 / $1,168.47 / $1,694.28	Professional		$897.74	$1,168.47	$1,694.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,913.64 / $10,800.08 / $10,800.08	Facility		$3,913.64	$10,800.08	$10,800.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,751.80 / $11,751.80 / $17,052.75	Professional		$11,751.80	$11,751.80	$17,052.75