Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $4,073.80	Facility		$1,479.11	$1,479.11	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $1,862.09	Professional		$1,230.27	$1,479.11	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $5,888.44	Facility		$4,168.69	$4,168.69	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $4,265.80	Professional		$1,584.89	$1,862.09	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,951.21 / $3,981.07	Facility		$1,202.26	$2,951.21	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $2,238.72	Facility		$1,412.54	$1,621.81	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,162.28	Professional		$2,818.38	$2,818.38	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,187.76 / $2,290.87	Facility		$1,122.02	$2,187.76	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,041.74	Professional		$776.25	$1,122.02	$2,041.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $14,125.38	Professional		$9,332.54	$9,332.54	$14,125.38