Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.58 / $1,499.76 / $2,833.04	Facility		$1,170.58	$1,499.76	$2,833.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.58 / $1,499.76 / $2,824.39	Professional		$1,170.58	$1,499.76	$2,824.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,249.63 / $1,249.63 / $1,267.86	Facility		$1,249.63	$1,249.63	$1,267.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.00 / $2,508.35 / $4,365.70	Professional		$560.00	$2,508.35	$4,365.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $1,275.75	Facility		$606.10	$606.10	$1,275.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,605.96 / $2,236.98 / $3,898.97	Professional		$1,605.96	$2,236.98	$3,898.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $1,918.00 / $3,020.96	Facility		$1,194.00	$1,918.00	$3,020.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,042.00 / $2,262.00 / $2,262.00	Professional		$2,042.00	$2,262.00	$2,262.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,059.60 / $2,059.60 / $4,731.20	Professional		$2,059.60	$2,059.60	$4,731.20
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 $1,419.39 / $2,205.02 / $4,162.26	Professional		$1,419.39	$2,205.02	$4,162.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,979.63 / $5,979.63	Facility		$55.00	$5,979.63	$5,979.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,886.79 / $11,568.56 / $13,168.20	Professional		$8,886.79	$11,568.56	$13,168.20