Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $7,585.78	Facility		$2,818.38	$2,818.38	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,818.38 / $3,388.44	Professional		$2,290.87	$2,818.38	$3,388.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $7,762.47 / $11,220.18	Facility		$5,888.44	$7,762.47	$11,220.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $7,943.28	Professional		$2,951.21	$3,467.37	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,495.41 / $9,120.11	Facility		$2,630.27	$5,495.41	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $4,786.30	Facility		$2,290.87	$3,090.30	$4,786.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,570.88 / $6,606.93	Professional		$3,467.37	$4,570.88	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,073.80 / $4,265.80	Facility		$2,089.30	$4,073.80	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $3,801.89	Professional		$1,479.11	$2,089.30	$3,801.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $26,302.68	Professional		$17,378.01	$17,378.01	$26,302.68