Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $3,715.35	Professional		$2,137.96	$2,818.38	$3,715.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $7,413.10 / $10,000.00	Facility		$4,677.35	$7,413.10	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,801.89 / $4,168.69	Professional		$3,715.35	$3,801.89	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,818.38 / $2,818.38	Facility		$645.65	$2,818.38	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $5,754.40	Professional		$2,041.74	$2,041.74	$5,754.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,511.89 / $3,235.94	Professional		$2,290.87	$2,511.89	$3,235.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $7,079.46	Facility		$2,089.30	$3,981.07	$7,079.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,311.31 / $3,981.07	Facility		$1,819.70	$3,311.31	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $3,467.37	Professional		$1,949.84	$2,454.71	$3,467.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $22,908.68 / $22,908.68 / $22,908.68	Facility		$22,908.68	$22,908.68	$22,908.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $25,118.86 / $25,118.86 / $36,307.81	Professional		$25,118.86	$25,118.86	$36,307.81