Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,402.20 / $3,402.20 / $6,904.77	Facility		$3,402.20	$3,402.20	$6,904.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,044.89 / $3,402.20 / $3,402.20	Professional		$2,044.89	$3,402.20	$3,402.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,664.87 / $4,397.85 / $8,350.39	Facility		$3,664.87	$4,397.85	$8,350.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,182.38 / $3,428.30 / $3,771.13	Professional		$3,182.38	$3,428.30	$3,771.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,941.06 / $2,941.06 / $2,941.06	Facility		$2,941.06	$2,941.06	$2,941.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,146.96 / $2,146.96 / $6,588.28	Professional		$2,146.96	$2,146.96	$6,588.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,308.09 / $3,402.20 / $5,490.83	Facility		$1,308.09	$3,402.20	$5,490.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,435.21 / $3,435.21 / $3,435.21	Professional		$3,435.21	$3,435.21	$3,435.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,325.00 / $5,325.00 / $8,187.50	Professional		$5,325.00	$5,325.00	$8,187.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,752.09 / $2,280.46 / $3,219.89	Professional		$1,752.09	$2,280.46	$3,219.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,638.05 / $21,171.57 / $21,171.57	Facility		$7,638.05	$21,171.57	$21,171.57
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $22,889.87 / $33,281.40 / $33,281.40	Professional		$22,889.87	$33,281.40	$33,281.40