Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,711.17 / $2,065.08 / $3,942.54	Facility		$1,711.17	$2,065.08	$3,942.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,711.17 / $2,065.08 / $3,942.54	Professional		$1,711.17	$2,065.08	$3,942.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,590.24 / $1,590.24 / $1,613.44	Facility		$1,590.24	$1,590.24	$1,613.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,242.92 / $3,709.34 / $5,605.23	Professional		$2,242.92	$3,709.34	$5,605.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $1,547.78	Facility		$606.10	$606.10	$1,547.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,242.55 / $3,213.51 / $5,488.29	Professional		$2,242.55	$3,213.51	$5,488.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,745.39 / $2,832.00 / $4,394.97	Facility		$1,745.39	$2,832.00	$4,394.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,778.00 / $3,143.00 / $3,143.00	Professional		$2,778.00	$3,143.00	$3,143.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,788.80 / $6,509.70	Professional		$5.00	$2,788.80	$6,509.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,964.20 / $2,977.98 / $5,536.90	Professional		$1,964.20	$2,977.98	$5,536.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,663.57 / $8,663.57	Facility		$55.00	$8,663.57	$8,663.57
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,931.36 / $15,775.28 / $17,883.00	Professional		$12,931.36	$15,775.28	$17,883.00