Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,136.45 / $3,136.45 / $6,365.39	Facility		$3,136.45	$3,136.45	$6,365.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,988.05 / $3,136.45 / $3,136.45	Professional		$1,988.05	$3,136.45	$3,136.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,838.92 / $6,250.88 / $7,698.13	Facility		$3,838.92	$6,250.88	$7,698.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,933.80 / $3,160.52 / $3,476.57	Professional		$2,933.80	$3,160.52	$3,476.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $2,741.63 / $2,741.63	Facility		$2,741.63	$2,741.63	$2,741.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,741.63 / $5,230.13	Professional		$2,001.39	$2,741.63	$5,230.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,357.23 / $3,136.45 / $4,750.29	Facility		$1,357.23	$3,136.45	$4,750.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,083.61 / $3,083.61 / $3,083.61	Professional		$3,083.61	$3,083.61	$3,083.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $8,236.70	Professional		$5,357.00	$5,357.00	$8,236.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,751.94 / $2,102.33 / $3,298.20	Professional		$1,751.94	$2,102.33	$3,298.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,978.54 / $21,030.00 / $21,030.00	Facility		$7,978.54	$21,030.00	$21,030.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $27,812.52 / $33,481.50 / $33,481.50	Professional		$27,812.52	$33,481.50	$33,481.50