Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,297.55 / $7,318.75 / $33,164.76	Facility		$4,297.55	$7,318.75	$33,164.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,583.03 / $4,297.55 / $4,297.55	Professional		$2,583.03	$4,297.55	$4,297.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,260.07 / $8,564.94 / $10,547.95	Facility		$5,260.07	$8,564.94	$10,547.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,019.88 / $4,330.52 / $4,619.22	Professional		$4,019.88	$4,330.52	$4,619.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,536.46 / $4,536.46 / $4,536.46	Facility		$4,536.46	$4,536.46	$4,536.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,855.99 / $4,536.46 / $6,657.75	Professional		$3,855.99	$4,536.46	$6,657.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,652.75 / $4,297.55 / $6,791.55	Facility		$1,652.75	$4,297.55	$6,791.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,339.22 / $4,339.22 / $4,339.22	Professional		$4,339.22	$4,339.22	$4,339.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6,726.30 / $6,726.30 / $10,342.00	Professional		$6,726.30	$6,726.30	$10,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,213.17 / $2,880.60 / $4,176.87	Professional		$2,213.17	$2,880.60	$4,176.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $9,648.04 / $26,749.15 / $26,749.15	Facility		$9,648.04	$26,749.15	$26,749.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $28,971.25 / $42,039.53 / $42,039.53	Professional		$28,971.25	$42,039.53	$42,039.53