Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.72 / $2,010.38 / $3,768.22	Facility		$1,472.72	$2,010.38	$3,768.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,010.38 / $2,477.91 / $4,558.42	Professional		$2,010.38	$2,477.91	$4,558.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,418.59 / $6,386.64 / $6,867.36	Facility		$4,418.59	$6,386.64	$6,867.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,051.94 / $1,987.00 / $4,207.77	Professional		$1,051.94	$1,987.00	$4,207.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,776.26 / $3,254.01 / $6,136.66	Facility		$1,776.26	$3,254.01	$6,136.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,083.45 / $1,735.47 / $3,405.63	Professional		$1,083.45	$1,735.47	$3,405.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,337.65 / $2,337.65 / $4,020.76	Facility		$2,337.65	$2,337.65	$4,020.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $640.00 / $2,337.65	Professional		$640.00	$640.00	$2,337.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,519.47 / $2,337.65 / $4,476.60	Professional		$1,519.47	$2,337.65	$4,476.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.65 / $2,758.43 / $2,805.18	Facility		$2,337.65	$2,758.43	$2,805.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,168.83 / $1,402.59 / $2,407.78	Professional		$1,168.83	$1,402.59	$2,407.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,067.51 / $11,103.84 / $11,103.84	Facility		$4,067.51	$11,103.84	$11,103.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,688.25 / $11,688.25 / $17,532.38	Professional		$11,688.25	$11,688.25	$17,532.38