Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,144.98 / $2,144.98 / $4,353.28	Facility		$2,144.98	$2,144.98	$4,353.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,289.24 / $2,144.98 / $2,144.98	Professional		$1,289.24	$2,144.98	$2,144.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.61 / $2,772.73 / $5,264.67	Facility		$2,310.61	$2,772.73	$5,264.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,642.70 / $2,161.44 / $2,161.44	Professional		$1,642.70	$2,161.44	$2,161.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,782.71 / $2,084.13 / $2,084.13	Facility		$1,782.71	$2,084.13	$2,084.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $2,084.13 / $3,834.75	Professional		$1,521.41	$2,084.13	$3,834.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $887.16 / $2,144.98 / $3,414.36	Facility		$887.16	$2,144.98	$3,414.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $2,022.00	Professional		$1,620.00	$1,620.00	$2,022.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,523.30 / $3,523.30 / $5,417.20	Professional		$3,523.30	$3,523.30	$5,417.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,058.80 / $1,815.91 / $2,117.59	Facility		$1,058.80	$1,815.91	$2,117.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,145.16 / $1,437.76 / $2,255.62	Professional		$1,145.16	$1,437.76	$2,255.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,557.17 / $15,180.10 / $15,180.10	Facility		$5,557.17	$15,180.10	$15,180.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $17,186.59 / $17,186.59 / $22,020.60	Professional		$17,186.59	$17,186.59	$22,020.60