Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,888.44 / $10,471.29	Facility		$1,659.59	$5,888.44	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $4,073.80	Professional		$1,412.54	$1,621.81	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $4,466.84	Professional		$1,659.59	$2,089.30	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $3,981.07	Professional		$1,584.89	$2,238.72	$3,981.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,630.78	Professional		$2,691.53	$2,691.53	$3,630.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $3,311.31	Facility		$1,548.82	$2,089.30	$3,311.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $3,388.44	Professional		$2,089.30	$2,691.53	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $12,302.69 / $19,054.61	Facility		$4,168.69	$12,302.69	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $3,388.44	Professional		$1,348.96	$1,778.28	$3,388.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $14,454.40 / $14,454.40	Facility		$56.23	$14,454.40	$14,454.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $13,182.57	Professional		$12,882.50	$12,882.50	$13,182.57