Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $7,244.36 / $9,332.54	Professional		$5,128.61	$7,244.36	$9,332.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $17,782.79 / $23,988.33	Facility		$11,220.18	$17,782.79	$23,988.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $9,120.11 / $9,120.11	Professional		$8,912.51	$9,120.11	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $8,128.31	Facility		$5,370.32	$8,128.31	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $9,549.93	Professional		$5,888.44	$5,888.44	$9,549.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,309.57 / $8,128.31	Professional		$5,888.44	$6,309.57	$8,128.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,772.37 / $16,595.87	Facility		$5,128.61	$9,772.37	$16,595.87
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 $5,011.87 / $8,912.51 / $9,549.93	Facility		$5,011.87	$8,912.51	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,025.60 / $9,120.11	Professional		$5,011.87	$6,025.60	$9,120.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $64,565.42 / $64,565.42 / $64,565.42	Facility		$64,565.42	$64,565.42	$64,565.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $79,432.82 / $79,432.82 / $89,125.09	Professional		$79,432.82	$79,432.82	$89,125.09