Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.41 / $1,625.06 / $12,615.00	Facility		$988.41	$1,625.06	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.41 / $1,039.35 / $2,000.77	Professional		$988.41	$1,039.35	$2,000.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,182.65 / $1,636.14 / $2,700.69	Professional		$1,182.65	$1,636.14	$2,700.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $5,006.99	Facility		$852.10	$852.10	$5,006.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.17 / $1,437.78 / $2,568.17	Professional		$1,108.17	$1,437.78	$2,568.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $988.41 / $1,251.24 / $2,096.38	Facility		$988.41	$1,251.24	$2,096.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $1,294.00 / $1,307.00	Professional		$815.00	$1,294.00	$1,307.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,318.40 / $2,680.80	Professional		$5.00	$1,318.40	$2,680.80
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 $868.57 / $1,238.16 / $2,482.46	Professional		$868.57	$1,238.16	$2,482.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,590.68 / $16,547.20 / $26,542.00	Facility		$5,590.68	$16,547.20	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,315.02 / $11,315.02 / $11,315.02	Professional		$11,315.02	$11,315.02	$11,315.02