Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,442.28 / $3,442.28 / $5,938.16	Facility		$3,442.28	$3,442.28	$5,938.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,554.79 / $3,442.28 / $3,442.28	Professional		$1,554.79	$3,442.28	$3,442.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,581.28 / $5,831.34 / $7,181.45	Facility		$3,581.28	$5,831.34	$7,181.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,653.55 / $2,948.39 / $3,144.95	Professional		$2,653.55	$2,948.39	$3,144.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,017.28 / $2,017.28 / $2,431.75	Facility		$2,017.28	$2,017.28	$2,431.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $2,017.28 / $4,290.75	Professional		$1,472.61	$2,017.28	$4,290.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,039.78 / $3,424.58 / $4,474.96	Facility		$1,039.78	$3,424.58	$4,474.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,210.00 / $2,210.00 / $2,672.95	Professional		$2,210.00	$2,210.00	$2,672.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,839.05 / $4,050.20 / $6,464.43	Professional		$3,839.05	$4,050.20	$6,464.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,333.05 / $1,879.04 / $2,843.77	Professional		$1,333.05	$1,879.04	$2,843.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,142.48 / $20,446.47 / $20,446.47	Facility		$6,142.48	$20,446.47	$20,446.47
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $26,336.21 / $26,336.21 / $26,336.21	Professional		$26,336.21	$26,336.21	$26,336.21