Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,257.10 / $8,257.10 / $16,757.70	Facility		$8,257.10	$8,257.10	$16,757.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,292.50 / $8,257.10 / $8,257.10	Professional		$5,292.50	$8,257.10	$8,257.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,894.58 / $10,673.49 / $20,266.31	Facility		$8,894.58	$10,673.49	$20,266.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,323.55 / $8,320.45 / $8,320.45	Professional		$6,323.55	$8,320.45	$8,320.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,862.46 / $8,732.85 / $8,732.85	Facility		$6,862.46	$8,732.85	$8,732.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,374.98 / $8,732.85 / $15,650.25	Professional		$6,374.98	$8,732.85	$15,650.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,573.07 / $8,257.10 / $13,048.93	Facility		$3,573.07	$8,257.10	$13,048.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,238.00 / $6,238.00 / $7,784.00	Professional		$6,238.00	$6,238.00	$7,784.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16,267.50 / $16,267.50 / $25,012.10	Professional		$16,267.50	$16,267.50	$25,012.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,544.86 / $5,544.86 / $5,544.86	Facility		$5,544.86	$5,544.86	$5,544.86
United Facility/Professional Professional Modifier Low / Median / High Price $4,612.20 / $5,558.11 / $8,682.91	Professional		$4,612.20	$5,558.11	$8,682.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $22,679.61 / $58,756.37 / $58,756.37	Facility		$22,679.61	$58,756.37	$58,756.37
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $72,157.73 / $72,157.73 / $101,671.95	Professional		$72,157.73	$72,157.73	$101,671.95