Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,476.53 / $2,476.53 / $5,026.13	Facility		$2,476.53	$2,476.53	$5,026.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,578.43 / $2,476.53 / $2,476.53	Professional		$1,578.43	$2,476.53	$2,476.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,667.75 / $3,201.30 / $6,078.43	Facility		$2,667.75	$3,201.30	$6,078.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,896.61 / $2,495.54 / $2,495.54	Professional		$1,896.61	$2,495.54	$2,495.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,058.26 / $2,425.11 / $2,425.11	Facility		$2,058.26	$2,425.11	$2,425.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $2,425.11 / $4,346.25	Professional		$1,770.33	$2,425.11	$4,346.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,017.02 / $2,476.53 / $3,747.09	Facility		$1,017.02	$2,476.53	$3,747.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,871.00 / $1,871.00 / $2,335.00	Professional		$1,871.00	$1,871.00	$2,335.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,870.60 / $3,870.60 / $5,951.20	Professional		$3,870.60	$3,870.60	$5,951.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,312.80 / $1,660.00 / $2,427.57	Professional		$1,312.80	$1,660.00	$2,427.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,298.10 / $16,380.05 / $16,380.05	Facility		$6,298.10	$16,380.05	$16,380.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $19,267.33 / $19,267.33 / $24,191.25	Professional		$19,267.33	$19,267.33	$24,191.25