Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,592.00 / $2,880.00 / $3,096.00	Facility		$2,592.00	$2,880.00	$3,096.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,394.00 / $2,880.00 / $3,816.00	Professional		$2,394.00	$2,880.00	$3,816.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,098.52 / $7,510.49 / $7,878.02	Facility		$6,098.52	$7,510.49	$7,878.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,060.00 / $3,600.00 / $7,740.00	Professional		$3,060.00	$3,600.00	$7,740.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,735.46 / $5,011.32 / $9,450.52	Facility		$2,735.46	$5,011.32	$9,450.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,670.36 / $2,672.70 / $5,315.10	Professional		$1,670.36	$2,672.70	$5,315.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,880.00 / $3,600.00 / $5,220.00	Facility		$2,880.00	$3,600.00	$5,220.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $2,340.00 / $3,600.00	Professional		$2,340.00	$2,340.00	$3,600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $3,600.00 / $6,894.00	Professional		$2,340.00	$3,600.00	$6,894.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $4,248.00 / $4,320.00	Facility		$2,160.00	$4,248.00	$4,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,620.00 / $2,160.00 / $3,708.00	Professional		$1,620.00	$2,160.00	$3,708.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,264.00 / $17,100.00 / $17,100.00	Facility		$6,264.00	$17,100.00	$17,100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $17,928.00 / $17,928.00 / $27,000.00	Professional		$17,928.00	$17,928.00	$27,000.00