Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.83 / $1,537.39 / $2,927.57	Facility		$1,261.83	$1,537.39	$2,927.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,261.83 / $1,602.22 / $3,479.62	Professional		$1,261.83	$1,602.22	$3,479.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,180.76 / $1,180.76 / $1,197.99	Facility		$1,180.76	$1,180.76	$1,197.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,654.44 / $2,687.42 / $4,758.70	Professional		$1,654.44	$2,687.42	$4,758.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $1,155.83	Facility		$606.10	$606.10	$1,155.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,668.41 / $2,390.83 / $4,073.57	Professional		$1,668.41	$2,390.83	$4,073.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,287.08 / $2,101.29 / $3,282.86	Facility		$1,287.08	$2,101.29	$3,282.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,062.00 / $2,334.00 / $2,334.00	Professional		$2,062.00	$2,334.00	$2,334.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,070.10 / $2,070.10 / $4,819.10	Professional		$2,070.10	$2,070.10	$4,819.10
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 $1,427.33 / $2,063.60 / $4,058.31	Professional		$1,427.33	$2,063.60	$4,058.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,389.32 / $6,389.32	Facility		$55.00	$6,389.32	$6,389.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,538.00 / $11,704.32 / $13,273.73	Professional		$9,538.00	$11,704.32	$13,273.73