Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,938.60 / $2,938.60 / $5,963.87	Facility		$2,938.60	$2,938.60	$5,963.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,766.24 / $2,938.60 / $2,938.60	Professional		$1,766.24	$2,938.60	$2,938.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,596.78 / $5,856.58 / $7,212.54	Facility		$3,596.78	$5,856.58	$7,212.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,250.46 / $2,961.15 / $2,961.15	Professional		$2,250.46	$2,961.15	$2,961.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,540.30 / $2,540.30 / $2,540.30	Facility		$2,540.30	$2,540.30	$2,540.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $2,540.30 / $4,552.50	Professional		$1,854.42	$2,540.30	$4,552.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,129.84 / $2,938.60 / $4,446.20	Facility		$1,129.84	$2,938.60	$4,446.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,209.00 / $2,209.00 / $2,770.00	Professional		$2,209.00	$2,209.00	$2,770.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,599.39 / $4,599.39 / $7,071.70	Professional		$4,599.39	$4,599.39	$7,071.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.34 / $1,969.71 / $2,856.08	Professional		$1,513.34	$1,969.71	$2,856.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,597.28 / $18,286.54 / $18,286.54	Facility		$6,597.28	$18,286.54	$18,286.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $19,770.65 / $19,770.65 / $28,746.00	Professional		$19,770.65	$19,770.65	$28,746.00