Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $3,235.94	Professional		$1,659.59	$2,398.83	$3,235.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,754.40 / $7,762.47	Facility		$3,630.78	$5,754.40	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,311.31	Professional		$2,951.21	$2,951.21	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,951.21 / $2,951.21	Facility		$1,737.80	$2,951.21	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,235.94	Professional		$2,187.76	$2,187.76	$3,235.94
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 $1,659.59 / $3,162.28 / $5,495.41	Facility		$1,659.59	$3,162.28	$5,495.41
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 / $3,090.30	Facility		$1,548.82	$2,754.23	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,818.38	Professional		$1,548.82	$1,949.84	$2,818.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $19,498.45	Facility		$19,498.45	$19,498.45	$19,498.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $23,988.33 / $23,988.33 / $28,840.32	Professional		$23,988.33	$23,988.33	$28,840.32