Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.20 / $2,592.00 / $4,579.20	Facility		$2,041.20	$2,592.00	$4,579.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,154.60 / $2,592.00 / $3,434.40	Professional		$2,154.60	$2,592.00	$3,434.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,488.67 / $6,510.11 / $7,267.14	Facility		$5,488.67	$6,510.11	$7,267.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $2,916.00 / $5,249.71	Professional		$75.00	$2,916.00	$5,249.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,461.91 / $4,509.85 / $8,505.74	Facility		$2,461.91	$4,509.85	$8,505.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,503.28 / $2,644.59 / $4,720.80	Professional		$1,503.28	$2,644.59	$4,720.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,592.00 / $2,840.75 / $4,860.00	Facility		$2,592.00	$2,840.75	$4,860.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,170.00 / $2,840.75	Professional		$1,170.00	$1,170.00	$2,840.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,106.00 / $3,240.00 / $6,204.60	Professional		$2,106.00	$3,240.00	$6,204.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,420.38 / $1,944.00 / $3,240.00	Professional		$1,420.38	$1,944.00	$3,240.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,637.60 / $15,390.00 / $15,390.00	Facility		$5,637.60	$15,390.00	$15,390.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $16,200.00 / $16,200.00 / $24,300.00	Professional		$16,200.00	$16,200.00	$24,300.00