Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,558.27 / $2,885.75 / $2,885.75	Facility		$1,558.27	$2,885.75	$2,885.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $936.60 / $1,558.28 / $1,558.28	Professional		$936.60	$1,558.28	$1,558.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,907.26 / $3,105.62 / $3,824.66	Facility		$1,907.26	$3,105.62	$3,824.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,457.59 / $1,570.23 / $1,674.91	Professional		$1,457.59	$1,570.23	$1,674.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.68 / $1,162.68 / $1,162.68	Facility		$1,162.68	$1,162.68	$1,162.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $1,162.68 / $2,414.25	Professional		$988.28	$1,162.68	$2,414.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.43 / $1,558.28 / $2,328.48	Facility		$35.43	$1,558.28	$2,328.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $35.43 / $1,394.93	Professional		$35.43	$35.43	$1,394.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,439.00 / $2,439.00 / $3,750.00	Professional		$2,439.00	$2,439.00	$3,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $802.49 / $1,044.50 / $1,514.52	Professional		$802.49	$1,044.50	$1,514.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,498.40 / $9,699.25 / $9,699.25	Facility		$3,498.40	$9,699.25	$9,699.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,504.91 / $15,243.45 / $15,243.45	Professional		$10,504.91	$15,243.45	$15,243.45