Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.94 / $5,577.21 / $10,561.00	Facility		$1,406.94	$5,577.21	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,298.96 / $1,484.27 / $3,747.13	Professional		$1,298.96	$1,484.27	$3,747.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,602.01 / $2,757.28 / $4,657.04	Professional		$1,602.01	$2,757.28	$4,657.04
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 $1,559.96 / $2,040.63 / $3,648.15	Professional		$1,559.96	$2,040.63	$3,648.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,406.94 / $1,810.94 / $2,911.12	Facility		$1,406.94	$1,810.94	$2,911.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,810.94 / $1,863.00 / $1,863.00	Professional		$1,810.94	$1,863.00	$1,863.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,852.80 / $3,960.50	Professional		$7.00	$1,852.80	$3,960.50
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 $1,255.88 / $1,774.58 / $3,869.71	Professional		$1,255.88	$1,774.58	$3,869.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,073.36 / $13,073.36	Facility		$55.00	$13,073.36	$13,073.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,789.51 / $15,789.51 / $15,789.51	Professional		$15,789.51	$15,789.51	$15,789.51