Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $3,467.37	Professional		$1,819.70	$2,818.38	$3,467.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,165.95 / $8,317.64	Facility		$3,890.45	$6,165.95	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,548.13	Professional		$3,162.28	$3,162.28	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,019.95 / $3,019.95	Facility		$1,862.09	$3,019.95	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,311.31	Professional		$2,187.76	$2,187.76	$3,311.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,089.30 / $3,019.95	Professional		$1,949.84	$2,089.30	$3,019.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,467.37 / $6,025.60	Facility		$1,819.70	$3,467.37	$6,025.60
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 $1,737.80 / $3,162.28 / $3,311.31	Facility		$1,737.80	$3,162.28	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $3,235.94	Professional		$1,737.80	$2,089.30	$3,235.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $26,302.68 / $26,302.68	Facility		$26,302.68	$26,302.68	$26,302.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $27,542.29 / $27,542.29 / $38,018.94	Professional		$27,542.29	$27,542.29	$38,018.94