Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,614.61 / $3,614.61 / $7,335.80	Facility		$3,614.61	$3,614.61	$7,335.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,172.55 / $3,614.61 / $3,614.61	Professional		$2,172.55	$3,614.61	$3,614.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,424.18 / $7,203.84 / $8,871.73	Facility		$4,424.18	$7,203.84	$8,871.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,768.18 / $3,642.34 / $3,642.34	Professional		$2,768.18	$3,642.34	$3,642.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,886.72 / $2,886.72 / $2,886.72	Facility		$2,886.72	$2,886.72	$2,886.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $2,886.72 / $5,599.88	Professional		$2,107.31	$2,886.72	$5,599.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,389.75 / $3,614.61 / $5,469.00	Facility		$1,389.75	$3,614.61	$5,469.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,717.00 / $2,717.00 / $3,408.00	Professional		$2,717.00	$2,717.00	$3,408.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,657.40 / $5,657.40 / $8,698.50	Professional		$5,657.40	$5,657.40	$8,698.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,861.46 / $2,422.83 / $3,513.10	Professional		$1,861.46	$2,422.83	$3,513.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,114.89 / $22,493.11 / $22,493.11	Facility		$8,114.89	$22,493.11	$22,493.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $24,318.59 / $24,318.59 / $35,358.60	Professional		$24,318.59	$24,318.59	$35,358.60