Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,740.60 / $4,740.60 / $9,621.03	Facility		$4,740.60	$4,740.60	$9,621.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,849.33 / $4,740.60 / $4,740.60	Professional		$2,849.33	$4,740.60	$4,740.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,802.37 / $9,447.94 / $11,635.40	Facility		$5,802.37	$9,447.94	$11,635.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,434.31 / $4,776.97 / $5,095.45	Professional		$4,434.31	$4,776.97	$5,095.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,799.01 / $3,799.01 / $3,799.01	Facility		$3,799.01	$3,799.01	$3,799.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,229.16 / $3,799.01 / $7,542.00	Professional		$3,229.16	$3,799.01	$7,542.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,843.79 / $4,740.60 / $7,083.80	Facility		$1,843.79	$4,740.60	$7,083.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,468.59 / $4,468.59 / $4,468.59	Professional		$4,468.59	$4,468.59	$4,468.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,419.80 / $7,419.80 / $11,408.30	Professional		$7,419.80	$7,419.80	$11,408.30
United Facility/Professional Professional Modifier Low / Median / High Price $2,441.34 / $3,177.58 / $4,522.02	Professional		$2,441.34	$3,177.58	$4,522.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $10,929.24 / $30,839.28 / $30,839.28	Facility		$10,929.24	$30,839.28	$30,839.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $32,305.11 / $46,373.63 / $46,373.63	Professional		$32,305.11	$46,373.63	$46,373.63