Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,963.08 / $2,492.80 / $5,038.58	Facility		$1,963.08	$2,492.80	$5,038.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,072.14 / $2,492.80 / $3,302.96	Professional		$2,072.14	$2,492.80	$3,302.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,278.61 / $6,260.96 / $7,571.36	Facility		$5,278.61	$6,260.96	$7,571.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $2,233.33 / $4,985.60	Professional		$75.00	$2,233.33	$4,985.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,367.69 / $4,337.39 / $8,180.13	Facility		$2,367.69	$4,337.39	$8,180.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.80 / $2,804.36 / $4,539.82	Professional		$1,445.80	$2,804.36	$4,539.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,492.80 / $3,125.73 / $4,674.00	Facility		$2,492.80	$3,125.73	$4,674.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,170.00 / $3,125.73	Professional		$1,170.00	$1,170.00	$3,125.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,025.40 / $3,116.00 / $5,967.14	Professional		$2,025.40	$3,116.00	$5,967.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,558.00 / $1,869.60 / $3,209.48	Professional		$1,558.00	$1,869.60	$3,209.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,421.84 / $14,801.00 / $14,801.00	Facility		$5,421.84	$14,801.00	$14,801.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,580.00 / $15,580.00 / $23,370.00	Professional		$15,580.00	$15,580.00	$23,370.00