Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $3,311.31	Professional		$1,905.46	$2,691.53	$3,311.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $8,912.51	Facility		$3,715.35	$4,365.16	$8,912.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,388.44 / $3,715.35	Professional		$3,311.31	$3,388.44	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,630.78 / $3,630.78	Facility		$954.99	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $5,248.07	Professional		$3,090.30	$3,090.30	$5,248.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,187.76 / $3,019.95	Professional		$2,041.74	$2,187.76	$3,019.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $6,456.54	Facility		$1,862.09	$3,630.78	$6,456.54
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 $1,071.52 / $2,691.53 / $3,548.13	Facility		$1,071.52	$2,691.53	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $3,162.28	Professional		$1,737.80	$2,238.72	$3,162.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $22,387.21 / $22,387.21 / $22,387.21	Facility		$22,387.21	$22,387.21	$22,387.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $23,988.33 / $23,988.33 / $37,153.52	Professional		$23,988.33	$23,988.33	$37,153.52