Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,495.41 / $5,888.44	Facility		$1,412.54	$5,495.41	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $1,698.24	Professional		$1,174.90	$1,412.54	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,981.07 / $6,165.95	Facility		$2,951.21	$3,981.07	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $4,365.16	Professional		$1,479.11	$1,949.84	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,090.30 / $4,570.88	Facility		$1,258.93	$3,090.30	$4,570.88
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 $1,258.93 / $1,584.89 / $2,454.71	Facility		$1,258.93	$1,584.89	$2,454.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,311.31	Professional		$2,951.21	$2,951.21	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,089.30 / $2,137.96	Facility		$1,047.13	$2,089.30	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,949.84	Professional		$812.83	$1,047.13	$1,949.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $14,791.08	Professional		$9,772.37	$9,772.37	$14,791.08