Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,821.17 / $2,821.17 / $5,725.53	Facility		$2,821.17	$2,821.17	$5,725.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,695.65 / $2,821.17 / $2,821.17	Professional		$1,695.65	$2,821.17	$2,821.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,038.97 / $3,646.76 / $6,924.30	Facility		$3,038.97	$3,646.76	$6,924.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,638.88 / $2,842.81 / $3,127.09	Professional		$2,638.88	$2,842.81	$3,127.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,677.88 / $2,677.88 / $2,677.88	Facility		$2,677.88	$2,677.88	$2,677.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,954.85 / $2,677.88 / $4,370.63	Professional		$1,954.85	$2,677.88	$4,370.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,091.50 / $2,821.17 / $4,268.51	Facility		$1,091.50	$2,821.17	$4,268.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,131.00 / $2,131.00 / $2,660.00	Professional		$2,131.00	$2,131.00	$2,660.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,490.70 / $4,490.70 / $6,904.60	Professional		$4,490.70	$4,490.70	$6,904.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.86 / $1,899.02 / $2,966.65	Professional		$1,452.86	$1,899.02	$2,966.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,333.63 / $17,719.04 / $17,719.04	Facility		$6,333.63	$17,719.04	$17,719.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $18,980.66 / $18,980.66 / $28,066.73	Professional		$18,980.66	$18,980.66	$28,066.73