Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,220.80 / $6,220.80 / $12,908.20	Facility		$6,220.80	$6,220.80	$12,908.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,171.04 / $6,220.80 / $8,242.56	Professional		$5,171.04	$6,220.80	$8,242.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,172.81 / $16,222.67 / $21,270.66	Facility		$13,172.81	$16,222.67	$21,270.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,609.60 / $7,776.00 / $16,718.40	Professional		$6,609.60	$7,776.00	$16,718.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,908.59 / $10,824.21 / $20,414.30	Facility		$5,908.59	$10,824.21	$20,414.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,608.03 / $6,848.02 / $11,480.75	Professional		$3,608.03	$6,848.02	$11,480.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6,220.80 / $7,776.00 / $11,275.20	Facility		$6,220.80	$7,776.00	$11,275.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,054.39 / $5,054.39 / $7,776.00	Professional		$5,054.39	$5,054.39	$7,776.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,054.39 / $7,776.00 / $14,891.04	Professional		$5,054.39	$7,776.00	$14,891.04
United Facility/Professional Professional Modifier Low / Median / High Price $3,888.00 / $4,665.60 / $8,009.28	Professional		$3,888.00	$4,665.60	$8,009.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $13,530.24 / $36,936.00 / $36,936.00	Facility		$13,530.24	$36,936.00	$36,936.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $38,724.48 / $38,724.48 / $58,320.00	Professional		$38,724.48	$38,724.48	$58,320.00