Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $2,884.03	Facility		$1,047.13	$1,047.13	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,258.93	Professional		$870.96	$1,047.13	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $4,168.69	Facility		$2,187.76	$2,884.03	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $3,019.95	Professional		$1,122.02	$1,318.26	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,089.30 / $3,388.44	Facility		$1,000.00	$2,089.30	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,778.28	Facility		$933.25	$1,174.90	$1,778.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,511.89	Professional		$1,318.26	$1,698.24	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,548.82 / $1,584.89	Facility		$776.25	$1,548.82	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,445.44	Professional		$549.54	$776.25	$1,445.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $9,772.37	Professional		$6,456.54	$6,456.54	$9,772.37