Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $7,244.36 / $7,585.78	Facility		$1,819.70	$7,244.36	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $2,187.76	Professional		$1,513.56	$1,819.70	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $7,244.36	Facility		$3,890.45	$5,128.61	$7,244.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $5,248.07	Professional		$1,949.84	$2,290.87	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,630.78 / $6,025.60	Facility		$1,548.82	$3,630.78	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $3,162.28	Facility		$1,778.28	$2,041.74	$3,162.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,890.45	Professional		$3,467.37	$3,467.37	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,691.53 / $2,754.23	Facility		$1,380.38	$2,691.53	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,511.89	Professional		$954.99	$1,380.38	$2,511.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Facility		$10,715.19	$10,715.19	$10,715.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $16,982.44	Professional		$11,220.18	$11,220.18	$16,982.44