Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $3,801.89	Professional		$1,995.26	$2,884.03	$3,801.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,918.31 / $9,332.54	Facility		$4,365.16	$6,918.31	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,981.07	Professional		$3,548.13	$3,548.13	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,548.13 / $3,548.13	Facility		$2,089.30	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $4,265.80	Professional		$2,570.40	$2,570.40	$4,265.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $3,090.30	Professional		$2,137.96	$2,290.87	$3,090.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,801.89 / $6,606.93	Facility		$1,995.26	$3,801.89	$6,606.93
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 $1,905.46 / $3,467.37 / $3,715.35	Facility		$1,905.46	$3,467.37	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $3,548.13	Professional		$1,905.46	$2,344.23	$3,548.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $28,840.32	Facility		$28,840.32	$28,840.32	$28,840.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $30,902.95 / $30,902.95 / $34,673.69	Professional		$30,902.95	$30,902.95	$34,673.69