Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $7,943.28	Facility		$2,884.03	$2,884.03	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $3,630.78	Professional		$2,398.83	$2,884.03	$3,630.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $11,481.54	Facility		$7,943.28	$7,943.28	$11,481.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $8,317.64	Professional		$3,090.30	$3,630.78	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,754.40 / $9,549.93	Facility		$2,754.23	$5,754.40	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $4,466.84	Facility		$2,344.23	$3,090.30	$4,466.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $6,025.60	Professional		$5,495.41	$5,495.41	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,265.80 / $4,365.16	Facility		$2,137.96	$4,265.80	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $3,981.07	Professional		$1,513.56	$2,137.96	$3,981.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Facility		$16,982.44	$16,982.44	$16,982.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $26,915.35	Professional		$17,782.79	$17,782.79	$26,915.35