Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,614.51 / $4,614.51 / $9,365.09	Facility		$4,614.51	$4,614.51	$9,365.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,773.54 / $4,614.51 / $4,614.51	Professional		$2,773.54	$4,614.51	$4,614.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,970.76 / $5,964.91 / $11,325.90	Facility		$4,970.76	$5,964.91	$11,325.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,533.94 / $4,649.92 / $4,649.92	Professional		$3,533.94	$4,649.92	$4,649.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,835.12 / $4,865.01 / $4,865.01	Facility		$3,835.12	$4,865.01	$4,865.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $4,865.01 / $8,718.75	Professional		$3,551.46	$4,865.01	$8,718.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,988.15 / $4,614.51 / $6,981.89	Facility		$1,988.15	$4,614.51	$6,981.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,486.00 / $3,486.00 / $4,350.00	Professional		$3,486.00	$3,486.00	$4,350.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,407.60 / $7,407.60 / $11,389.40	Professional		$7,407.60	$7,407.60	$11,389.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,320.94 / $5,320.94 / $5,320.94	Facility		$5,320.94	$5,320.94	$5,320.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,376.40 / $3,093.05 / $4,852.47	Professional		$2,376.40	$3,093.05	$4,852.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $14,759.34 / $39,095.40 / $39,095.40	Facility		$14,759.34	$39,095.40	$39,095.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $47,778.75 / $47,778.75 / $47,778.75	Professional		$47,778.75	$47,778.75	$47,778.75