Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $2,754.23	Professional		$1,445.44	$2,187.76	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,311.31 / $6,606.93	Facility		$2,754.23	$3,311.31	$6,606.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,818.38	Professional		$2,511.89	$2,511.89	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,630.27 / $2,630.27	Facility		$1,479.11	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,691.53	Professional		$1,905.46	$1,905.46	$2,691.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,949.84 / $2,238.72	Professional		$1,819.70	$1,949.84	$2,238.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,818.38 / $4,786.30	Facility		$1,445.44	$2,818.38	$4,786.30
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 $1,380.38 / $2,511.89 / $2,630.27	Facility		$1,380.38	$2,511.89	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,570.40	Professional		$1,380.38	$1,659.59	$2,570.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $20,892.96 / $20,892.96	Facility		$20,892.96	$20,892.96	$20,892.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $33,113.11	Professional		$21,379.62	$21,379.62	$33,113.11