Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $4,786.30	Facility		$1,778.28	$1,778.28	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $2,137.96	Professional		$1,445.44	$1,778.28	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,897.79 / $6,918.31	Facility		$3,715.35	$4,897.79	$6,918.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $5,011.87	Professional		$1,862.09	$2,187.76	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,467.37 / $5,754.40	Facility		$1,659.59	$3,467.37	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $3,019.95	Facility		$1,584.89	$1,995.26	$3,019.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,715.35	Professional		$3,388.44	$3,388.44	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,570.40 / $2,691.53	Facility		$1,318.26	$2,570.40	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,398.83	Professional		$933.25	$1,318.26	$2,398.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Facility		$10,471.29	$10,471.29	$10,471.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $16,595.87	Professional		$10,964.78	$10,964.78	$16,595.87