Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,569.93 / $4,780.50 / $10,690.00	Facility		$1,569.93	$4,780.50	$10,690.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,569.93 / $1,651.68 / $3,313.31	Professional		$1,569.93	$1,651.68	$3,313.31
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 $1,809.56 / $3,315.50 / $10,472.00	Professional		$1,809.56	$3,315.50	$10,472.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $23,889.75	Facility		$852.10	$852.10	$23,889.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,736.92 / $2,339.19 / $4,175.96	Professional		$1,736.92	$2,339.19	$4,175.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,569.93 / $2,067.84 / $3,313.37	Facility		$1,569.93	$2,067.84	$3,313.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $2,148.00 / $2,148.00	Professional		$815.00	$2,148.00	$2,148.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,099.40 / $4,444.80	Professional		$7.00	$2,099.40	$4,444.80
United Facility/Professional Facility Modifier Low / Median / High Price $5,020.00 / $11,617.00 / $17,964.00	Facility		$5,020.00	$11,617.00	$17,964.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,382.77 / $1,967.06 / $4,402.24	Professional		$1,382.77	$1,967.06	$4,402.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $11,911.44 / $68,911.44 / $78,951.35	Facility		$11,911.44	$68,911.44	$78,951.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $16,304.65 / $16,304.65 / $16,304.65	Professional		$16,304.65	$16,304.65	$16,304.65