Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $11,940.40	Facility		$5,754.40	$5,754.40	$11,940.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,783.35 / $5,754.40 / $7,624.58	Professional		$4,783.35	$5,754.40	$7,624.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,185.18 / $15,006.38 / $19,675.91	Facility		$12,185.18	$15,006.38	$19,675.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,114.05 / $7,193.00 / $15,464.95	Professional		$6,114.05	$7,193.00	$15,464.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,465.60 / $10,012.51 / $18,883.25	Facility		$5,465.60	$10,012.51	$18,883.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,337.49 / $5,340.01 / $10,619.89	Professional		$3,337.49	$5,340.01	$10,619.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,193.00 / $10,429.85	Facility		$5,754.40	$7,193.00	$10,429.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,675.45 / $4,675.45 / $7,193.00	Professional		$4,675.45	$4,675.45	$7,193.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,675.45 / $7,193.00 / $13,774.59	Professional		$4,675.45	$7,193.00	$13,774.59
United Facility/Professional Facility Modifier Low / Median / High Price $8,631.60 / $8,631.60 / $8,631.60	Facility		$8,631.60	$8,631.60	$8,631.60
United Facility/Professional Professional Modifier Low / Median / High Price $3,596.50 / $4,315.80 / $7,193.00	Professional		$3,596.50	$4,315.80	$7,193.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $12,515.82 / $34,166.75 / $34,166.75	Facility		$12,515.82	$34,166.75	$34,166.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $35,821.14 / $35,821.14 / $53,947.50	Professional		$35,821.14	$35,821.14	$53,947.50