Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,607.32 / $2,607.32 / $5,291.51	Facility		$2,607.32	$2,607.32	$5,291.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,725.59 / $2,607.32 / $2,607.32	Professional		$1,725.59	$2,607.32	$2,607.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,808.62 / $3,370.35 / $6,399.43	Facility		$2,808.62	$3,370.35	$6,399.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,996.76 / $2,627.32 / $2,627.32	Professional		$1,996.76	$2,627.32	$2,627.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,166.92 / $2,782.58 / $2,782.58	Facility		$2,166.92	$2,782.58	$2,782.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,733.54 / $2,031.28 / $4,986.75	Professional		$1,733.54	$2,031.28	$4,986.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,092.64 / $2,607.32 / $3,944.94	Facility		$1,092.64	$2,607.32	$3,944.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,970.00 / $1,970.00 / $2,458.00	Professional		$1,970.00	$1,970.00	$2,458.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,155.60 / $4,155.60 / $6,389.40	Professional		$4,155.60	$4,155.60	$6,389.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,342.72 / $1,747.65 / $2,608.07	Professional		$1,342.72	$1,747.65	$2,608.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,226.45 / $18,435.41 / $18,435.41	Facility		$7,226.45	$18,435.41	$18,435.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $20,910.48 / $20,910.48 / $25,972.65	Professional		$20,910.48	$20,910.48	$25,972.65