Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $8,128.31	Facility		$1,949.84	$2,630.27	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $2,951.21	Professional		$1,621.81	$1,949.84	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $5,623.41	Facility		$4,168.69	$4,897.79	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $5,623.41	Professional		$2,089.30	$2,454.71	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,890.45 / $6,456.54	Facility		$1,659.59	$3,890.45	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $3,801.89	Professional		$1,148.15	$1,698.24	$3,801.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $3,548.13	Facility		$1,778.28	$2,187.76	$3,548.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,570.40	Professional		$2,454.71	$2,454.71	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,884.03 / $3,019.95	Facility		$1,479.11	$2,884.03	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,691.53	Professional		$1,023.29	$1,479.11	$2,691.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Facility		$11,748.98	$11,748.98	$11,748.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $18,197.01	Professional		$12,302.69	$12,302.69	$18,197.01