Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,801.54 / $2,801.54 / $5,685.67	Facility		$2,801.54	$2,801.54	$5,685.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,683.86 / $2,801.54 / $2,801.54	Professional		$1,683.86	$2,801.54	$2,801.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,428.99 / $5,583.42 / $6,876.13	Facility		$3,428.99	$5,583.42	$6,876.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,145.51 / $2,823.04 / $2,823.04	Professional		$2,145.51	$2,823.04	$2,823.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,264.80 / $2,264.80 / $2,264.80	Facility		$2,264.80	$2,264.80	$2,264.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.30 / $2,264.80 / $4,340.25	Professional		$1,653.30	$2,264.80	$4,340.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,077.14 / $2,801.54 / $4,238.79	Facility		$1,077.14	$2,801.54	$4,238.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,106.00 / $2,106.00 / $2,641.00	Professional		$2,106.00	$2,106.00	$2,641.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,384.80 / $4,384.80 / $6,741.80	Professional		$4,384.80	$4,384.80	$6,741.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,442.74 / $1,877.84 / $2,946.00	Professional		$1,442.74	$1,877.84	$2,946.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,289.48 / $17,433.41 / $17,433.41	Facility		$6,289.48	$17,433.41	$17,433.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $18,848.34 / $18,848.34 / $27,404.93	Professional		$18,848.34	$18,848.34	$27,404.93