Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,346.62 / $4,346.62 / $7,498.18	Facility		$4,346.62	$4,346.62	$7,498.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,119.29 / $4,346.62 / $4,346.62	Professional		$2,119.29	$4,346.62	$4,346.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,522.10 / $7,363.32 / $9,068.12	Facility		$4,522.10	$7,363.32	$9,068.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,829.46 / $3,722.97 / $3,722.97	Professional		$2,829.46	$3,722.97	$3,722.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.64 / $2,756.64 / $2,756.64	Facility		$2,756.64	$2,756.64	$2,756.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $2,012.35 / $7,154.53	Professional		$2,012.35	$2,012.35	$7,154.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,420.87 / $4,346.62 / $5,650.61	Facility		$1,420.87	$4,346.62	$5,650.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,482.62 / $3,482.62 / $3,482.62	Professional		$3,482.62	$3,482.62	$3,482.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,782.60 / $5,782.60 / $8,891.00	Professional		$5,782.60	$5,782.60	$8,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,821.63 / $2,454.38 / $3,590.88	Professional		$1,821.63	$2,454.38	$3,590.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,756.19 / $22,996.26 / $22,996.26	Facility		$7,756.19	$22,996.26	$22,996.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $24,906.67 / $24,906.67 / $36,141.23	Professional		$24,906.67	$24,906.67	$36,141.23