Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,467.38 / $2,467.38 / $5,007.51	Facility		$2,467.38	$2,467.38	$5,007.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.01 / $2,467.38 / $2,467.38	Professional		$1,483.01	$2,467.38	$2,467.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,657.86 / $3,189.43 / $6,055.96	Facility		$2,657.86	$3,189.43	$6,055.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,889.60 / $2,486.31 / $2,486.31	Professional		$1,889.60	$2,486.31	$2,486.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,050.63 / $2,637.76 / $2,637.76	Facility		$2,050.63	$2,637.76	$2,637.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,925.56 / $2,637.76 / $4,727.25	Professional		$1,925.56	$2,637.76	$4,727.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,067.70 / $2,467.38 / $3,923.23	Facility		$1,067.70	$2,467.38	$3,923.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,864.00 / $1,864.00 / $2,326.00	Professional		$1,864.00	$1,864.00	$2,326.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,288.80 / $5,288.80 / $8,155.30	Professional		$5,288.80	$5,288.80	$8,155.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,320.69 / $1,653.86 / $2,594.62	Professional		$1,320.69	$1,653.86	$2,594.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,850.38 / $20,995.52 / $20,995.52	Facility		$6,850.38	$20,995.52	$20,995.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $21,251.69 / $21,251.69 / $33,150.83	Professional		$21,251.69	$21,251.69	$33,150.83