Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,107.32 / $2,107.32 / $4,276.78	Facility		$2,107.32	$2,107.32	$4,276.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,266.59 / $2,107.32 / $2,107.32	Professional		$1,266.59	$2,107.32	$2,107.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,579.31 / $4,199.85 / $5,172.22	Facility		$2,579.31	$4,199.85	$5,172.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,613.85 / $2,123.48 / $2,123.48	Professional		$1,613.85	$2,123.48	$2,123.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,751.38 / $1,769.18 / $1,769.18	Facility		$1,751.38	$1,769.18	$1,769.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,769.17 / $3,935.63	Professional		$1,291.50	$1,769.17	$3,935.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $911.89 / $2,107.32 / $3,354.36	Facility		$911.89	$2,107.32	$3,354.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,592.00 / $1,592.00 / $1,987.00	Professional		$1,592.00	$1,592.00	$1,987.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,734.40 / $3,734.40 / $5,741.80	Professional		$3,734.40	$3,734.40	$5,741.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,085.23 / $1,412.51 / $2,176.64	Professional		$1,085.23	$1,412.51	$2,176.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,703.28 / $17,834.59 / $17,834.59	Facility		$5,703.28	$17,834.59	$17,834.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $18,022.32 / $18,022.32 / $23,339.85	Professional		$18,022.32	$18,022.32	$23,339.85