Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,786.30 / $6,165.95	Professional		$3,630.78	$4,786.30	$6,165.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $12,302.69 / $16,595.87	Facility		$7,762.47	$12,302.69	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,456.54 / $6,760.83	Professional		$6,309.57	$6,456.54	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $10,000.00	Professional		$4,073.80	$4,073.80	$10,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $6,309.57 / $11,748.98	Facility		$3,090.30	$6,309.57	$11,748.98
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 $3,162.28 / $5,754.40 / $6,760.83	Facility		$3,162.28	$5,754.40	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,168.69 / $6,165.95	Professional		$3,467.37	$4,168.69	$6,165.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $40,738.03 / $40,738.03 / $40,738.03	Facility		$40,738.03	$40,738.03	$40,738.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $42,657.95 / $63,095.73 / $63,095.73	Professional		$42,657.95	$63,095.73	$63,095.73