Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $6,025.60 / $6,309.57	Facility		$1,513.56	$6,025.60	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,819.70	Professional		$1,258.93	$1,513.56	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,265.80 / $6,025.60	Facility		$3,235.94	$4,265.80	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,230.27 / $2,570.40	Professional		$100.00	$1,230.27	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,019.95 / $5,011.87	Facility		$1,288.25	$3,019.95	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $2,630.27	Facility		$1,380.38	$1,698.24	$2,630.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,235.94	Professional		$2,884.03	$2,884.03	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,238.72 / $2,290.87	Facility		$1,148.15	$2,238.72	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,089.30	Professional		$794.33	$1,148.15	$2,089.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $14,125.38	Professional		$9,549.93	$9,549.93	$14,125.38