Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,259.12 / $2,259.12 / $4,584.87	Facility		$2,259.12	$2,259.12	$4,584.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,357.84 / $2,259.12 / $2,259.12	Professional		$1,357.84	$2,259.12	$2,259.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,765.12 / $4,502.38 / $5,544.80	Facility		$2,765.12	$4,502.38	$5,544.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,730.10 / $2,276.44 / $2,276.44	Professional		$1,730.10	$2,276.44	$2,276.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,952.91 / $1,952.91 / $1,952.91	Facility		$1,952.91	$1,952.91	$1,952.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,425.62 / $1,952.91 / $3,499.88	Professional		$1,425.62	$1,952.91	$3,499.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $868.59 / $2,259.12 / $3,418.13	Facility		$868.59	$2,259.12	$3,418.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,698.00 / $1,698.00 / $2,130.00	Professional		$1,698.00	$1,698.00	$2,130.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,535.90 / $3,535.90 / $5,436.60	Professional		$3,535.90	$3,535.90	$5,436.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,163.42 / $1,514.26 / $2,195.67	Professional		$1,163.42	$1,514.26	$2,195.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,071.80 / $14,058.21 / $14,058.21	Facility		$5,071.80	$14,058.21	$14,058.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,199.11 / $15,199.11 / $22,099.20	Professional		$15,199.11	$15,199.11	$22,099.20