Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,369.83 / $1,369.83 / $3,836.12	Facility		$1,369.83	$1,369.83	$3,836.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.33 / $1,369.83 / $1,369.83	Professional		$823.33	$1,369.83	$1,369.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,475.59 / $1,770.71 / $3,362.12	Facility		$1,475.59	$1,770.71	$3,362.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,281.33 / $1,380.35 / $1,472.37	Professional		$1,281.33	$1,380.35	$1,472.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,022.07 / $1,022.07 / $1,022.07	Facility		$1,022.07	$1,022.07	$1,022.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.76 / $1,022.07 / $2,122.13	Professional		$868.76	$1,022.07	$2,122.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,198.01 / $1,369.83 / $1,840.46	Facility		$1,198.01	$1,369.83	$1,840.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,381.73 / $1,381.73 / $1,381.73	Professional		$1,381.73	$1,381.73	$1,381.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,144.00 / $2,144.00 / $3,296.40	Professional		$2,144.00	$2,144.00	$3,296.40
United Facility/Professional Professional Modifier Low / Median / High Price $759.95 / $918.18 / $1,440.47	Professional		$759.95	$918.18	$1,440.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,075.27 / $8,486.59 / $8,486.59	Facility		$3,075.27	$8,486.59	$8,486.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,234.45 / $13,399.88 / $13,399.88	Professional		$9,234.45	$13,399.88	$13,399.88