Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,094.12 / $2,659.20 / $5,358.19	Facility		$2,094.12	$2,659.20	$5,358.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,326.80 / $2,659.20 / $3,191.04	Professional		$2,326.80	$2,659.20	$3,191.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,086.14 / $9,764.14 / $9,764.14	Facility		$7,086.14	$9,764.14	$9,764.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,495.80 / $2,825.40 / $5,983.20	Professional		$1,495.80	$2,825.40	$5,983.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,525.73 / $6,169.21 / $8,726.37	Facility		$2,525.73	$6,169.21	$8,726.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,540.67 / $2,763.98 / $4,842.81	Professional		$1,540.67	$2,763.98	$4,842.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,994.40 / $2,991.60 / $3,822.60	Facility		$1,994.40	$2,991.60	$3,822.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $3,324.00 / $3,324.00	Professional		$640.00	$3,324.00	$3,324.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,160.60 / $3,324.00 / $6,365.46	Professional		$2,160.60	$3,324.00	$6,365.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,662.00 / $1,994.40 / $3,324.00	Professional		$1,662.00	$1,994.40	$3,324.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,783.76 / $15,789.00 / $15,789.00	Facility		$5,783.76	$15,789.00	$15,789.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $16,620.00 / $16,620.00 / $24,930.00	Professional		$16,620.00	$16,620.00	$24,930.00