Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,593.39 / $2,593.39 / $5,263.27	Facility		$2,593.39	$2,593.39	$5,263.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,509.56 / $2,593.39 / $2,593.39	Professional		$1,509.56	$2,593.39	$2,593.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,174.26 / $5,168.58 / $6,365.25	Facility		$3,174.26	$5,168.58	$6,365.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,986.10 / $2,613.29 / $2,613.29	Professional		$1,986.10	$2,613.29	$2,613.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,155.38 / $2,571.77 / $2,571.77	Facility		$2,155.38	$2,571.77	$2,571.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.39 / $2,571.77 / $4,608.75	Professional		$1,877.39	$2,571.77	$4,608.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $989.06 / $2,593.39 / $3,923.88	Facility		$989.06	$2,593.39	$3,923.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,959.00 / $1,959.00 / $2,445.00	Professional		$1,959.00	$1,959.00	$2,445.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,682.70 / $3,682.70 / $5,666.00	Professional		$3,682.70	$3,682.70	$5,666.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,335.56 / $1,738.33 / $2,520.57	Professional		$1,335.56	$1,738.33	$2,520.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,678.97 / $16,090.64 / $16,090.64	Facility		$6,678.97	$16,090.64	$16,090.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $17,890.11 / $17,890.11 / $23,031.75	Professional		$17,890.11	$17,890.11	$23,031.75