Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $3,162.28	Professional		$1,621.81	$2,454.71	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,495.41 / $7,413.10	Facility		$3,467.37	$5,495.41	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $2,691.53	Facility		$1,659.59	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,090.30	Professional		$1,995.26	$1,995.26	$3,090.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,862.09 / $2,454.71	Professional		$1,737.80	$1,862.09	$2,454.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,370.32	Facility		$1,584.89	$3,090.30	$5,370.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,754.23 / $2,951.21	Facility		$1,548.82	$2,754.23	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $2,818.38	Professional		$1,548.82	$1,862.09	$2,818.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $24,547.09 / $24,547.09 / $28,183.83	Professional		$24,547.09	$24,547.09	$28,183.83