Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $4,677.35	Facility		$1,698.24	$1,698.24	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $2,344.23	Professional		$1,412.54	$1,698.24	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,786.30 / $6,760.83	Facility		$3,630.78	$4,786.30	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $4,897.79	Professional		$1,819.70	$2,137.96	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,388.44 / $5,623.41	Facility		$1,621.81	$3,388.44	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,884.03	Facility		$1,380.38	$1,905.46	$2,884.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,548.13	Professional		$3,235.94	$3,235.94	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $2,570.40	Facility		$1,288.25	$2,511.89	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,344.23	Professional		$891.25	$1,288.25	$2,344.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $15,848.93	Professional		$10,471.29	$10,471.29	$15,848.93