Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,890.45 / $5,248.07	Professional		$2,691.53	$3,890.45	$5,248.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,332.54 / $12,302.69	Facility		$5,888.44	$9,332.54	$12,302.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,786.30 / $5,248.07	Professional		$4,677.35	$4,786.30	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,365.16 / $4,365.16	Facility		$2,754.23	$4,365.16	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $5,011.87	Professional		$3,162.28	$3,162.28	$5,011.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,388.44 / $4,168.69	Professional		$3,162.28	$3,388.44	$4,168.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,248.07 / $8,912.51	Facility		$2,630.27	$5,248.07	$8,912.51
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 $2,570.40 / $4,677.35 / $5,011.87	Facility		$2,570.40	$4,677.35	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $4,786.30	Professional		$2,570.40	$3,090.30	$4,786.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $39,810.72 / $39,810.72 / $39,810.72	Facility		$39,810.72	$39,810.72	$39,810.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $46,773.51 / $46,773.51 / $50,118.72	Professional		$46,773.51	$46,773.51	$50,118.72