Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,400.00 / $4,400.00 / $9,130.00	Facility		$4,400.00	$4,400.00	$9,130.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,657.50 / $4,400.00 / $5,830.00	Professional		$3,657.50	$4,400.00	$5,830.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,317.19 / $11,474.37 / $12,035.87	Facility		$9,317.19	$11,474.37	$12,035.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,675.00 / $5,445.00 / $11,825.00	Professional		$4,675.00	$5,445.00	$11,825.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,137.38 / $7,655.95 / $14,491.16	Facility		$4,137.38	$7,655.95	$14,491.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,551.92 / $4,083.17 / $8,120.24	Professional		$2,551.92	$4,083.17	$8,120.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,400.00 / $5,520.00 / $8,004.00	Facility		$4,400.00	$5,520.00	$8,004.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,575.00 / $3,575.00 / $5,520.00	Professional		$3,575.00	$3,575.00	$5,520.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,516.24 / $5,500.00 / $10,427.17	Professional		$3,516.24	$5,500.00	$10,427.17
United Facility/Professional Facility Modifier Low / Median / High Price $5,500.00 / $6,490.00 / $6,600.00	Facility		$5,500.00	$6,490.00	$6,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,750.00 / $3,300.00 / $6,050.00	Professional		$2,750.00	$3,300.00	$6,050.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $9,474.29 / $25,863.75 / $25,863.75	Facility		$9,474.29	$25,863.75	$25,863.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $27,116.10 / $27,116.10 / $40,837.50	Professional		$27,116.10	$27,116.10	$40,837.50