Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $6,918.31	Facility		$2,511.89	$2,511.89	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $3,090.30	Professional		$2,089.30	$2,511.89	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $10,000.00	Facility		$7,079.46	$7,079.46	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $7,244.36	Professional		$2,691.53	$3,162.28	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,011.87 / $8,317.64	Facility		$2,398.83	$5,011.87	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $3,890.45	Facility		$2,041.74	$2,691.53	$3,890.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $5,370.32	Professional		$4,786.30	$4,786.30	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,715.35 / $3,890.45	Facility		$1,905.46	$3,715.35	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $3,467.37	Professional		$1,318.26	$1,905.46	$3,467.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility		$15,135.61	$15,135.61	$15,135.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $15,848.93 / $23,442.29	Professional		$15,848.93	$15,848.93	$23,442.29