Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $3,235.57 / $12,615.00	Facility		$1,615.00	$3,235.57	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,001.22 / $2,273.03 / $4,399.74	Professional		$2,001.22	$2,273.03	$4,399.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,838.61 / $3,838.61 / $5,484.89	Facility		$3,838.61	$3,838.61	$5,484.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,414.67 / $4,118.72 / $5,906.12	Professional		$2,414.67	$4,118.72	$5,906.12
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 $2,295.69 / $3,092.64 / $5,621.13	Professional		$2,295.69	$3,092.64	$5,621.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,163.60 / $2,801.57 / $4,889.74	Facility		$2,163.60	$2,801.57	$4,889.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,650.00 / $2,650.00 / $2,819.00	Professional		$2,650.00	$2,650.00	$2,819.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,848.10 / $6,028.30	Professional		$7.00	$2,848.10	$6,028.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,306.00 / $10,968.00 / $17,120.00	Facility		$3,306.00	$10,968.00	$17,120.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,878.08 / $2,661.78 / $5,437.09	Professional		$1,878.08	$2,661.78	$5,437.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,049.20 / $20,049.20	Facility		$55.00	$20,049.20	$20,049.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $19,301.40 / $19,652.56 / $19,652.56	Professional		$19,301.40	$19,652.56	$19,652.56