Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,852.12 / $2,852.12 / $2,852.12	Facility		$2,852.12	$2,852.12	$2,852.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,714.26 / $2,852.12 / $2,852.12	Professional		$1,714.26	$2,852.12	$2,852.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.86 / $5,684.22 / $7,000.27	Facility		$3,518.86	$5,684.22	$7,000.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,874.00 / $2,874.00 / $3,161.40	Professional		$2,874.00	$2,874.00	$3,161.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.53 / $2,381.07 / $2,381.07	Facility		$254.53	$2,381.07	$2,381.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.53 / $2,381.07 / $4,418.63	Professional		$254.53	$2,381.07	$4,418.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $289.00 / $2,852.12 / $3,832.00	Facility		$289.00	$2,852.12	$3,832.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $231.00 / $289.00	Professional		$231.00	$231.00	$289.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,464.00 / $4,464.00 / $6,863.50	Professional		$4,464.00	$4,464.00	$6,863.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,620.27 / $1,911.75 / $2,792.70	Professional		$1,620.27	$1,911.75	$2,792.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,403.10 / $17,752.32 / $17,752.32	Facility		$6,403.10	$17,752.32	$17,752.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $19,227.03 / $27,899.78 / $27,899.78	Professional		$19,227.03	$27,899.78	$27,899.78