Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $12,022.64	Facility		$4,365.16	$4,365.16	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,365.16 / $5,370.32	Professional		$3,630.78	$4,365.16	$5,370.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $17,378.01	Facility		$12,302.69	$12,302.69	$17,378.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,495.41 / $12,589.25	Professional		$4,677.35	$5,495.41	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $8,709.64 / $14,454.40	Facility		$4,168.69	$8,709.64	$14,454.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,677.35 / $6,760.83	Facility		$3,548.13	$4,677.35	$6,760.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $9,332.54	Professional		$8,317.64	$8,317.64	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,456.54 / $6,606.93	Facility		$3,311.31	$6,456.54	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $6,025.60	Professional		$2,290.87	$3,311.31	$6,025.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $26,302.68 / $26,302.68	Facility		$26,302.68	$26,302.68	$26,302.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $27,542.29 / $27,542.29 / $40,738.03	Professional		$27,542.29	$27,542.29	$40,738.03