Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,120.34 / $2,120.34 / $4,303.17	Facility		$2,120.34	$2,120.34	$4,303.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,274.42 / $2,120.34 / $2,120.34	Professional		$1,274.42	$2,120.34	$2,120.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,595.21 / $4,225.79 / $5,204.18	Facility		$2,595.21	$4,225.79	$5,204.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,623.82 / $2,136.61 / $2,136.61	Professional		$1,623.82	$2,136.61	$2,136.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,762.20 / $1,960.76 / $1,960.76	Facility		$1,762.20	$1,960.76	$1,960.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.35 / $1,960.76 / $3,513.75	Professional		$1,431.35	$1,960.76	$3,513.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $791.23 / $2,120.34 / $3,208.11	Facility		$791.23	$2,120.34	$3,208.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,602.00 / $1,602.00 / $1,999.00	Professional		$1,602.00	$1,602.00	$1,999.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,026.70 / $3,026.70 / $4,653.70	Professional		$3,026.70	$3,026.70	$4,653.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,091.93 / $1,421.24 / $2,229.67	Professional		$1,091.93	$1,421.24	$2,229.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,092.16 / $12,853.25 / $12,853.25	Facility		$5,092.16	$12,853.25	$12,853.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,449.94 / $14,449.94 / $18,917.18	Professional		$14,449.94	$14,449.94	$18,917.18