Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $9,549.93 / $10,000.00	Facility		$2,398.83	$9,549.93	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,818.38	Professional		$1,513.56	$1,995.26	$2,818.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $9,332.54	Facility		$5,888.44	$9,120.11	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $6,918.31	Professional		$2,570.40	$3,019.95	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,786.30 / $7,943.28	Facility		$2,041.74	$4,786.30	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,691.53 / $4,168.69	Facility		$1,513.56	$2,691.53	$4,168.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $5,011.87	Professional		$4,570.88	$4,570.88	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,548.13 / $3,630.78	Facility		$1,819.70	$3,548.13	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,311.31	Professional		$1,258.93	$1,819.70	$3,311.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Facility		$14,125.38	$14,125.38	$14,125.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $22,387.21	Professional		$15,135.61	$15,135.61	$22,387.21