Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $7,079.46	Facility		$2,570.40	$2,570.40	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $3,090.30	Professional		$2,137.96	$2,570.40	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $10,232.93	Facility		$7,079.46	$7,079.46	$10,232.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,235.94 / $7,413.10	Professional		$2,691.53	$3,235.94	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,011.87 / $8,317.64	Facility		$2,454.71	$5,011.87	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $3,981.07	Facility		$2,089.30	$2,691.53	$3,981.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,370.32	Professional		$4,897.79	$4,897.79	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,801.89 / $3,890.45	Facility		$1,905.46	$3,801.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $3,548.13	Professional		$1,348.96	$1,905.46	$3,548.13
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 / $23,988.33	Professional		$15,848.93	$15,848.93	$23,988.33