Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,125.67 / $2,125.67 / $4,314.02	Facility		$2,125.67	$2,125.67	$4,314.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.56 / $2,125.67 / $2,125.67	Professional		$1,323.56	$2,125.67	$2,125.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,601.76 / $4,236.42 / $5,217.27	Facility		$2,601.76	$4,236.42	$5,217.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,627.90 / $2,141.98 / $2,141.98	Professional		$1,627.90	$2,141.98	$2,141.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,766.64 / $2,050.41 / $2,050.41	Facility		$1,766.64	$2,050.41	$2,050.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,413.31 / $1,496.80 / $3,373.13	Professional		$1,413.31	$1,496.80	$3,373.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $919.83 / $2,125.67 / $3,216.20	Facility		$919.83	$2,125.67	$3,216.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,606.00 / $1,606.00 / $2,004.00	Professional		$1,606.00	$1,606.00	$2,004.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,813.20 / $3,813.20 / $5,863.00	Professional		$3,813.20	$3,813.20	$5,863.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,187.34 / $1,430.85 / $2,235.29	Professional		$1,187.34	$1,430.85	$2,235.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,984.51 / $18,087.81 / $18,087.81	Facility		$5,984.51	$18,087.81	$18,087.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $19,372.95 / $19,372.95 / $23,832.68	Professional		$19,372.95	$19,372.95	$23,832.68