Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,553.48 / $2,553.48 / $5,182.26	Facility		$2,553.48	$2,553.48	$5,182.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,534.77 / $2,553.48 / $2,553.48	Professional		$1,534.77	$2,553.48	$2,553.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,125.41 / $5,089.06 / $6,267.31	Facility		$3,125.41	$5,089.06	$6,267.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,955.54 / $2,573.08 / $2,573.08	Professional		$1,955.54	$2,573.08	$2,573.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,122.21 / $2,561.34 / $2,561.34	Facility		$2,122.21	$2,561.34	$2,561.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $2,561.34 / $4,503.75	Professional		$1,869.78	$2,561.34	$4,503.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,038.06 / $2,553.48 / $3,965.12	Facility		$1,038.06	$2,553.48	$3,965.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,929.00 / $1,929.00 / $2,407.00	Professional		$1,929.00	$1,929.00	$2,407.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,076.00 / $4,076.00 / $6,267.00	Professional		$4,076.00	$4,076.00	$6,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,315.01 / $1,711.57 / $2,545.92	Professional		$1,315.01	$1,711.57	$2,545.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,735.79 / $20,412.75 / $20,412.75	Facility		$6,735.79	$20,412.75	$20,412.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $21,805.07 / $21,805.07 / $25,474.80	Professional		$21,805.07	$21,805.07	$25,474.80