Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,630.27	Professional		$1,288.25	$1,862.09	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,466.84 / $6,025.60	Facility		$2,818.38	$4,466.84	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,570.40	Professional		$2,290.87	$2,290.87	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $1,819.70	Facility		$1,348.96	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,398.83	Professional		$1,318.26	$1,318.26	$2,398.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,548.82 / $1,949.84	Professional		$1,445.44	$1,548.82	$1,949.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,630.27 / $4,466.84	Facility		$1,288.25	$2,630.27	$4,466.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,398.83	Facility		$977.24	$1,445.44	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,187.76	Professional		$1,148.15	$1,479.11	$2,187.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Facility		$18,197.01	$18,197.01	$18,197.01
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $22,387.21	Professional		$19,498.45	$19,498.45	$22,387.21