Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,362.50 / $3,000.00 / $4,707.45	Facility		$2,362.50	$3,000.00	$4,707.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,493.75 / $3,000.00 / $3,975.00	Professional		$2,493.75	$3,000.00	$3,975.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,073.76 / $8,578.28 / $8,578.28	Facility		$7,073.76	$8,578.28	$8,578.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $2,086.55 / $5,256.54	Professional		$75.00	$2,086.55	$5,256.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,849.44 / $5,219.89 / $9,844.62	Facility		$2,849.44	$5,219.89	$9,844.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,739.97 / $2,783.95 / $5,463.54	Professional		$1,739.97	$2,783.95	$5,463.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,920.30 / $2,920.30 / $5,437.50	Facility		$2,920.30	$2,920.30	$5,437.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $2,920.30	Professional		$1,400.00	$1,400.00	$2,920.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,437.50 / $3,750.00 / $7,181.25	Professional		$2,437.50	$3,750.00	$7,181.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,920.30 / $3,504.36 / $4,425.00	Facility		$2,920.30	$3,504.36	$4,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,460.15 / $2,250.00 / $3,750.00	Professional		$1,460.15	$2,250.00	$3,750.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,525.00 / $17,812.50 / $17,812.50	Facility		$6,525.00	$17,812.50	$17,812.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $18,750.00 / $18,750.00 / $28,125.00	Professional		$18,750.00	$18,750.00	$28,125.00