Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $5,888.44	Facility		$2,187.76	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $2,630.27	Professional		$1,778.28	$2,187.76	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $6,025.60 / $8,709.64	Facility		$4,570.88	$6,025.60	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $6,165.95	Professional		$2,290.87	$2,691.53	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,265.80 / $7,079.46	Facility		$2,041.74	$4,265.80	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,715.35	Facility		$1,778.28	$2,398.83	$3,715.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,570.88	Professional		$4,168.69	$4,168.69	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,162.28 / $3,311.31	Facility		$1,621.81	$3,162.28	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,951.21	Professional		$1,148.15	$1,621.81	$2,951.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $20,417.38	Professional		$13,489.63	$13,489.63	$20,417.38