Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,707.27 / $2,330.56 / $4,368.35	Facility		$1,707.27	$2,330.56	$4,368.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,330.56 / $2,872.55 / $5,284.40	Professional		$2,330.56	$2,872.55	$5,284.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,653.63 / $7,961.08 / $7,961.08	Facility		$5,653.63	$7,961.08	$7,961.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,219.48 / $2,303.46 / $4,877.91	Professional		$1,219.48	$2,303.46	$4,877.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.16 / $3,772.34 / $7,114.36	Facility		$2,059.16	$3,772.34	$7,114.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,256.07 / $2,011.91 / $3,948.07	Professional		$1,256.07	$2,011.91	$3,948.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,709.95 / $2,709.95 / $4,661.10	Facility		$2,709.95	$2,709.95	$4,661.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,709.95 / $2,709.95 / $2,710.00	Professional		$2,709.95	$2,709.95	$2,710.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,761.47 / $2,709.95 / $5,189.55	Professional		$1,761.47	$2,709.95	$5,189.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.48 / $1,625.97 / $2,791.25	Professional		$1,219.48	$1,625.97	$2,791.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,715.31 / $12,872.26 / $12,872.26	Facility		$4,715.31	$12,872.26	$12,872.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,549.75 / $13,549.75 / $20,324.63	Professional		$13,549.75	$13,549.75	$20,324.63