Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,213.63 / $5,525.79 / $5,525.79	Facility		$2,213.63	$5,525.79	$5,525.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,213.63 / $2,321.98 / $2,554.17	Professional		$2,213.63	$2,321.98	$2,554.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,113.55 / $1,670.33 / $2,653.97	Professional		$1,113.55	$1,670.33	$2,653.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,335.43 / $1,335.43 / $4,098.46	Facility		$1,335.43	$1,335.43	$4,098.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,597.18 / $5,597.18 / $5,597.18	Professional		$5,597.18	$5,597.18	$5,597.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,071.38 / $1,625.82 / $2,492.92	Facility		$1,071.38	$1,625.82	$2,492.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,625.82 / $1,625.82 / $1,625.82	Professional		$1,625.82	$1,625.82	$1,625.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,793.67 / $1,793.67 / $2,809.05	Professional		$1,793.67	$1,793.67	$2,809.05
United Facility/Professional Professional Modifier Low / Median / High Price $954.05 / $1,459.13 / $2,651.24	Professional		$954.05	$1,459.13	$2,651.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,308.82 / $2,539.25 / $9,522.00	Facility		$2,308.82	$2,539.25	$9,522.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,427.00 / $11,427.00 / $11,427.00	Professional		$11,427.00	$11,427.00	$11,427.00