Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,168.69 / $5,495.41	Professional		$3,090.30	$4,168.69	$5,495.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $7,244.36 / $14,454.40	Facility		$6,025.60	$7,244.36	$14,454.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,495.41 / $5,888.44	Professional		$5,370.32	$5,495.41	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $8,511.38	Professional		$3,467.37	$3,467.37	$8,511.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,630.78 / $4,677.35	Professional		$3,388.44	$3,630.78	$4,677.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,754.40 / $10,000.00	Facility		$3,019.95	$5,754.40	$10,000.00
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 $2,691.53 / $4,897.79 / $5,128.61	Facility		$2,691.53	$4,897.79	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $5,128.61	Professional		$2,818.38	$3,630.78	$5,128.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $34,673.69 / $34,673.69 / $34,673.69	Facility		$34,673.69	$34,673.69	$34,673.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $36,307.81 / $52,480.75 / $52,480.75	Professional		$36,307.81	$52,480.75	$52,480.75