Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,310.92 / $1,634.63 / $2,981.78	Facility		$1,310.92	$1,634.63	$2,981.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,310.92 / $1,634.63 / $3,047.22	Professional		$1,310.92	$1,634.63	$3,047.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,247.28 / $1,247.28 / $1,265.48	Facility		$1,247.28	$1,247.28	$1,265.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,716.05 / $3,217.59 / $4,874.66	Professional		$1,716.05	$3,217.59	$4,874.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $1,296.83	Facility		$606.10	$606.10	$1,296.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,732.68 / $2,440.50 / $4,253.38	Professional		$1,732.68	$2,440.50	$4,253.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,337.14 / $2,162.00 / $3,350.94	Facility		$1,337.14	$2,162.00	$3,350.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,180.00 / $2,378.00 / $2,378.00	Professional		$2,180.00	$2,378.00	$2,378.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,194.30 / $2,194.30 / $4,974.60	Professional		$2,194.30	$2,194.30	$4,974.60
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 $1,518.09 / $2,248.39 / $4,239.74	Professional		$1,518.09	$2,248.39	$4,239.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,584.59 / $6,584.59	Facility		$55.00	$6,584.59	$6,584.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,800.64 / $12,360.72 / $14,050.73	Professional		$9,800.64	$12,360.72	$14,050.73