Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $6,165.95 / $6,456.54	Facility		$1,548.82	$6,165.95	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $1,949.84	Professional		$1,288.25	$1,548.82	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,365.16 / $6,165.95	Facility		$3,311.31	$4,365.16	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $4,466.84	Professional		$1,348.96	$1,737.80	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,090.30 / $5,128.61	Facility		$1,318.26	$3,090.30	$5,128.61
Cigna 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
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $2,691.53	Facility		$1,412.54	$1,737.80	$2,691.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,235.94	Professional		$2,951.21	$2,951.21	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $2,344.23	Facility		$1,174.90	$2,290.87	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,137.96	Professional		$812.83	$1,174.90	$2,137.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $14,454.40	Professional		$9,549.93	$9,549.93	$14,454.40