Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.57 / $3,216.07 / $11,437.00	Facility		$767.57	$3,216.07	$11,437.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.57 / $2,813.89 / $5,201.47	Professional		$767.57	$2,813.89	$5,201.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,474.86 / $3,474.86 / $3,525.56	Facility		$3,474.86	$3,474.86	$3,525.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,037.23 / $4,129.31 / $8,898.83	Professional		$1,037.23	$4,129.31	$8,898.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,182.48 / $1,182.48 / $6,617.48	Facility		$1,182.48	$1,182.48	$6,617.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.49 / $2,481.53 / $8,487.95	Professional		$945.49	$2,481.53	$8,487.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $767.57 / $2,516.89 / $5,701.97	Facility		$767.57	$2,516.89	$5,701.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,123.00 / $4,993.00 / $5,145.00	Professional		$1,123.00	$4,993.00	$5,145.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5,392.00 / $11,238.60	Professional		$5.00	$5,392.00	$11,238.60
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 $2,775.38 / $4,508.68 / $10,910.23	Professional		$2,775.38	$4,508.68	$10,910.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,299.89 / $7,299.89 / $26,542.00	Facility		$7,299.89	$7,299.89	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,822.85 / $28,693.84 / $33,725.62	Professional		$14,822.85	$28,693.84	$33,725.62