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 $1,995.26 / $2,398.83 / $2,884.03	Professional		$1,995.26	$2,398.83	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,760.83 / $9,549.93	Facility		$5,128.61	$6,760.83	$9,549.93
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 $2,089.30 / $4,786.30 / $7,943.28	Facility		$2,089.30	$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 $1,949.84 / $2,754.23 / $4,265.80	Facility		$1,949.84	$2,754.23	$4,265.80
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 $4,677.35 / $4,677.35 / $5,128.61	Professional		$4,677.35	$4,677.35	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,548.13 / $3,715.35	Facility		$1,819.70	$3,548.13	$3,715.35
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 $14,454.40 / $14,454.40 / $14,454.40	Facility		$14,454.40	$14,454.40	$14,454.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $22,908.68	Professional		$15,135.61	$15,135.61	$22,908.68