Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,613.10 / $2,644.90 / $10,561.00	Facility		$1,613.10	$2,644.90	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,613.10 / $1,685.94 / $3,251.94	Professional		$1,613.10	$1,685.94	$3,251.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,907.68 / $2,907.68 / $4,154.71	Facility		$2,907.68	$2,907.68	$4,154.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,576.25 / $2,733.39 / $4,324.68	Professional		$1,576.25	$2,733.39	$4,324.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $6,346.19	Facility		$606.10	$606.10	$6,346.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,806.11 / $2,364.98 / $4,253.24	Professional		$1,806.11	$2,364.98	$4,253.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,613.10 / $2,017.47 / $3,400.22	Facility		$1,613.10	$2,017.47	$3,400.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,017.47 / $2,175.00 / $2,175.00	Professional		$2,017.47	$2,175.00	$2,175.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,111.00 / $4,395.00	Professional		$7.00	$2,111.00	$4,395.00
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 $1,444.67 / $1,995.52 / $4,441.67	Professional		$1,444.67	$1,995.52	$4,441.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,305.96 / $20,973.00	Facility		$55.00	$18,305.96	$20,973.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $16,240.27 / $16,240.27 / $16,240.27	Professional		$16,240.27	$16,240.27	$16,240.27