Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,339.68 / $2,190.94 / $10,561.00	Facility		$1,339.68	$2,190.94	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,198.75 / $1,339.68 / $2,507.51	Professional		$1,198.75	$1,339.68	$2,507.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,497.60 / $2,602.86 / $11,300.00	Professional		$1,497.60	$2,602.86	$11,300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,458.95 / $1,913.62 / $3,498.69	Professional		$1,458.95	$1,913.62	$3,498.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,339.68 / $1,698.45 / $2,673.79	Facility		$1,339.68	$1,698.45	$2,673.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,698.45 / $1,804.00 / $1,804.00	Professional		$1,698.45	$1,804.00	$1,804.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,774.00 / $3,775.20	Professional		$7.00	$1,774.00	$3,775.20
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 $1,161.31 / $1,604.78 / $3,362.75	Professional		$1,161.31	$1,604.78	$3,362.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,527.60 / $12,527.60	Facility		$55.00	$12,527.60	$12,527.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,111.43 / $13,111.43 / $13,111.43	Professional		$13,111.43	$13,111.43	$13,111.43