Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,631.97 / $2,631.97 / $5,341.53	Facility		$2,631.97	$2,631.97	$5,341.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,616.54 / $2,631.97 / $2,631.97	Professional		$1,616.54	$2,631.97	$2,631.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,835.17 / $3,402.20 / $6,459.94	Facility		$2,835.17	$3,402.20	$6,459.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,461.92 / $2,652.16 / $2,652.17	Professional		$2,461.92	$2,652.16	$2,652.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,861.13 / $2,861.13 / $2,861.13	Facility		$2,861.13	$2,861.13	$2,861.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,431.96 / $2,861.13 / $4,181.63	Professional		$2,431.96	$2,861.13	$4,181.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,036.91 / $2,631.97 / $3,982.23	Facility		$1,036.91	$2,631.97	$3,982.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,978.00 / $1,978.00 / $2,481.00	Professional		$1,978.00	$1,978.00	$2,481.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,737.30 / $4,737.30 / $7,283.80	Professional		$4,737.30	$4,737.30	$7,283.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,355.41 / $1,764.18 / $2,558.06	Professional		$1,355.41	$1,764.18	$2,558.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,059.86 / $17,671.90 / $17,671.90	Facility		$6,059.86	$17,671.90	$17,671.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $18,949.15 / $18,949.15 / $29,608.05	Professional		$18,949.15	$18,949.15	$29,608.05