Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,849.28 / $2,849.28 / $5,782.57	Facility		$2,849.28	$2,849.28	$5,782.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,712.55 / $2,849.28 / $2,849.28	Professional		$1,712.55	$2,849.28	$2,849.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,487.43 / $5,678.55 / $6,993.29	Facility		$3,487.43	$5,678.55	$6,993.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,182.06 / $2,871.14 / $2,871.14	Professional		$2,182.06	$2,871.14	$2,871.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,463.07 / $2,463.07 / $2,463.07	Facility		$2,463.07	$2,463.07	$2,463.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $2,463.07 / $4,414.13	Professional		$1,798.04	$2,463.07	$4,414.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,095.49 / $2,849.28 / $4,311.03	Facility		$1,095.49	$2,849.28	$4,311.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,142.00 / $2,142.00 / $2,686.00	Professional		$2,142.00	$2,142.00	$2,686.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,459.50 / $4,459.50 / $6,856.70	Professional		$4,459.50	$4,459.50	$6,856.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,467.33 / $1,909.84 / $2,769.26	Professional		$1,467.33	$1,909.84	$2,769.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,396.68 / $17,730.55 / $17,730.55	Facility		$6,396.68	$17,730.55	$17,730.55
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $19,169.56 / $19,169.56 / $27,872.10	Professional		$19,169.56	$19,169.56	$27,872.10