Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,312.57 / $2,312.57 / $4,693.33	Facility		$2,312.57	$2,312.57	$4,693.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,389.96 / $2,312.57 / $2,312.57	Professional		$1,389.96	$2,312.57	$2,312.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,830.54 / $4,608.89 / $5,675.99	Facility		$2,830.54	$4,608.89	$5,675.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,771.04 / $2,330.31 / $2,330.31	Professional		$1,771.04	$2,330.31	$2,330.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,921.98 / $2,479.82 / $2,479.82	Facility		$1,921.98	$2,479.82	$2,479.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $2,479.82 / $4,444.13	Professional		$1,810.27	$2,479.82	$4,444.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,000.71 / $2,312.57 / $3,498.99	Facility		$1,000.71	$2,312.57	$3,498.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,747.00 / $1,747.00 / $2,180.00	Professional		$1,747.00	$1,747.00	$2,180.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,609.00 / $4,609.00 / $7,086.50	Professional		$4,609.00	$4,609.00	$7,086.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,291.74 / $1,550.09 / $2,454.31	Professional		$1,291.74	$1,550.09	$2,454.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,114.21 / $19,678.21 / $19,678.21	Facility		$7,114.21	$19,678.21	$19,678.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $23,030.06 / $23,030.06 / $28,806.08	Professional		$23,030.06	$23,030.06	$28,806.08