Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,167.73 / $2,167.73 / $4,399.39	Facility		$2,167.73	$2,167.73	$4,399.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,302.91 / $2,167.73 / $2,167.73	Professional		$1,302.91	$2,167.73	$2,167.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,653.24 / $4,320.24 / $5,320.49	Facility		$2,653.24	$4,320.24	$5,320.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,660.11 / $2,184.36 / $2,184.36	Professional		$1,660.11	$2,184.36	$2,184.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,801.60 / $1,819.89 / $1,819.89	Facility		$1,801.60	$1,819.89	$1,819.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,819.89 / $4,039.50	Professional		$1,328.52	$1,819.89	$4,039.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $938.03 / $2,167.73 / $3,359.12	Facility		$938.03	$2,167.73	$3,359.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,638.00 / $1,638.00 / $2,044.00	Professional		$1,638.00	$1,638.00	$2,044.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,658.00 / $4,658.00 / $7,164.90	Professional		$4,658.00	$4,658.00	$7,164.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,776.27 / $1,776.27 / $1,776.27	Facility		$1,776.27	$1,776.27	$1,776.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,210.83 / $1,459.16 / $2,239.04	Professional		$1,210.83	$1,459.16	$2,239.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,853.56 / $16,880.98 / $16,880.98	Facility		$5,853.56	$16,880.98	$16,880.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $19,222.38 / $19,222.38 / $29,124.83	Professional		$19,222.38	$19,222.38	$29,124.83