Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,754.23 / $3,548.13	Professional		$1,819.70	$2,754.23	$3,548.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,309.57 / $8,317.64	Facility		$3,981.07	$6,309.57	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,235.94 / $3,235.94	Professional		$3,162.28	$3,235.94	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,235.94 / $3,235.94	Facility		$1,862.09	$3,235.94	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,388.44	Professional		$2,398.83	$2,398.83	$3,388.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,511.89 / $2,818.38	Professional		$2,290.87	$2,511.89	$2,818.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,548.13 / $6,165.95	Facility		$1,819.70	$3,548.13	$6,165.95
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 / $3,388.44	Facility		$1,737.80	$3,162.28	$3,388.44
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 $26,915.35 / $26,915.35 / $26,915.35	Facility		$26,915.35	$26,915.35	$26,915.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $27,542.29 / $27,542.29 / $35,481.34	Professional		$27,542.29	$27,542.29	$35,481.34