Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $9,549.93	Facility		$2,290.87	$3,090.30	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $3,467.37	Professional		$1,479.11	$2,290.87	$3,467.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,456.54 / $6,606.93	Facility		$4,897.79	$6,456.54	$6,606.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $1,380.38 / $3,801.89	Professional		$75.86	$1,380.38	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,570.88 / $7,585.78	Facility		$1,949.84	$4,570.88	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $3,890.45	Professional		$1,318.26	$2,041.74	$3,890.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $4,168.69	Facility		$1,548.82	$2,511.89	$4,168.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,019.95	Professional		$2,884.03	$2,884.03	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,570.40 / $3,388.44	Facility		$1,288.25	$2,570.40	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $2,951.21	Professional		$1,071.52	$1,737.80	$2,951.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Facility		$13,489.63	$13,489.63	$13,489.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $21,379.62	Professional		$14,454.40	$14,454.40	$21,379.62