Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,808.73 / $2,296.80 / $3,428.30	Facility		$1,808.73	$2,296.80	$3,428.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,909.22 / $2,296.80 / $3,043.26	Professional		$1,909.22	$2,296.80	$3,043.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,863.57 / $6,247.36 / $6,247.36	Facility		$4,863.57	$6,247.36	$6,247.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $1,519.58 / $3,830.78	Professional		$75.00	$1,519.58	$3,830.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,181.53 / $3,996.34 / $7,536.93	Facility		$2,181.53	$3,996.34	$7,536.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,332.11 / $2,100.80 / $4,182.93	Professional		$1,332.11	$2,100.80	$4,182.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,126.78 / $2,126.78 / $4,162.95	Facility		$2,126.78	$2,126.78	$4,162.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $116.32 / $2,126.78	Professional		$116.32	$116.32	$2,126.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,866.15 / $2,871.00 / $5,497.97	Professional		$1,866.15	$2,871.00	$5,497.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,063.39 / $1,722.60 / $2,957.13	Professional		$1,063.39	$1,722.60	$2,957.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,995.54 / $13,637.25 / $13,637.25	Facility		$4,995.54	$13,637.25	$13,637.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,355.00 / $14,355.00 / $21,532.50	Professional		$14,355.00	$14,355.00	$21,532.50