Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,124.75 / $2,124.75 / $4,312.14	Facility		$2,124.75	$2,124.75	$4,312.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,277.07 / $2,124.75 / $2,124.75	Professional		$1,277.07	$2,124.75	$2,124.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,600.64 / $4,234.57 / $5,214.99	Facility		$2,600.64	$4,234.57	$5,214.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,987.46 / $2,141.05 / $2,355.16	Professional		$1,987.46	$2,141.05	$2,355.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.92 / $1,584.92 / $1,584.92	Facility		$1,584.92	$1,584.92	$1,584.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.99 / $1,584.92 / $3,291.75	Professional		$1,156.99	$1,584.92	$3,291.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $857.77 / $2,124.75 / $2,989.47	Facility		$857.77	$2,124.75	$2,989.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,145.35 / $2,145.35 / $2,145.35	Professional		$2,145.35	$2,145.35	$2,145.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,325.50 / $3,325.50 / $5,113.10	Professional		$3,325.50	$3,325.50	$5,113.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,179.94 / $1,424.19 / $2,145.35	Professional		$1,179.94	$1,424.19	$2,145.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,770.12 / $13,221.84 / $13,221.84	Facility		$4,770.12	$13,221.84	$13,221.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,294.89 / $20,784.30 / $20,784.30	Professional		$14,294.89	$20,784.30	$20,784.30