Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,040.70 / $3,040.70 / $6,171.04	Facility		$3,040.70	$3,040.70	$6,171.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,827.60 / $3,040.70 / $3,040.70	Professional		$1,827.60	$3,040.70	$3,040.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,721.73 / $6,060.05 / $7,463.11	Facility		$3,721.73	$6,060.05	$7,463.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,328.66 / $3,064.02 / $3,064.02	Professional		$2,328.66	$3,064.02	$3,064.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,282.71 / $2,282.71 / $2,282.71	Facility		$2,282.71	$2,282.71	$2,282.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $1,666.39 / $5,888.44	Professional		$1,666.39	$1,666.39	$5,888.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,176.59 / $3,040.70 / $4,600.64	Facility		$1,176.59	$3,040.70	$4,600.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,297.00 / $2,297.00 / $2,867.00	Professional		$2,297.00	$2,297.00	$2,867.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,854.70 / $4,854.70 / $7,464.30	Professional		$4,854.70	$4,854.70	$7,464.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,982.23 / $1,982.23 / $1,982.23	Facility		$1,982.23	$1,982.23	$1,982.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,565.91 / $2,038.15 / $2,955.31	Professional		$1,565.91	$2,038.15	$2,955.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,826.50 / $19,065.24 / $19,065.24	Facility		$6,826.50	$19,065.24	$19,065.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $20,393.65 / $20,393.65 / $30,341.85	Professional		$20,393.65	$20,393.65	$30,341.85