Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,147.50 / $2,147.50 / $4,358.32	Facility		$2,147.50	$2,147.50	$4,358.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,290.75 / $2,147.50 / $2,147.50	Professional		$1,290.75	$2,147.50	$2,147.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,628.48 / $4,279.92 / $5,270.84	Facility		$2,628.48	$4,279.92	$5,270.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,644.62 / $2,163.98 / $2,163.98	Professional		$1,644.62	$2,163.98	$2,163.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,784.78 / $2,289.62 / $2,289.62	Facility		$1,784.78	$2,289.62	$2,289.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.82 / $1,671.42 / $4,103.25	Professional		$1,427.82	$1,671.42	$4,103.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $929.28 / $2,147.50 / $3,325.38	Facility		$929.28	$2,147.50	$3,325.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,622.00 / $1,622.00 / $2,025.00	Professional		$1,622.00	$1,622.00	$2,025.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,842.30 / $3,842.30 / $5,907.70	Professional		$3,842.30	$3,842.30	$5,907.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,105.93 / $1,439.45 / $2,258.23	Professional		$1,105.93	$1,439.45	$2,258.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,946.23 / $18,273.58 / $18,273.58	Facility		$5,946.23	$18,273.58	$18,273.58
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $18,465.93 / $18,465.93 / $24,014.18	Professional		$18,465.93	$18,465.93	$24,014.18