Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,169.83 / $10,561.00	Facility		$1,615.00	$4,169.83	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,757.17 / $2,869.09 / $5,151.53	Professional		$2,757.17	$2,869.09	$5,151.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,663.54 / $4,618.87 / $7,307.83	Professional		$2,663.54	$4,618.87	$7,307.83
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 $3,094.17 / $4,052.88 / $6,981.10	Professional		$3,094.17	$4,052.88	$6,981.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,757.17 / $3,601.00 / $5,989.53	Facility		$2,757.17	$3,601.00	$5,989.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,410.00 / $3,410.00 / $3,581.00	Professional		$3,410.00	$3,410.00	$3,581.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,589.80 / $6,899.20	Professional		$7.00	$3,589.80	$6,899.20
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 $2,482.31 / $3,381.64 / $7,587.83	Professional		$2,482.31	$3,381.64	$7,587.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,467.04 / $25,467.04	Facility		$55.00	$25,467.04	$25,467.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $32,079.30 / $32,079.30 / $32,079.30	Professional		$32,079.30	$32,079.30	$32,079.30