Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.17 / $1,615.00 / $7,439.00	Facility		$1,208.17	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,102.00 / $1,209.77 / $2,332.23	Professional		$1,102.00	$1,209.77	$2,332.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,838.61 / $3,838.61 / $5,484.89	Facility		$3,838.61	$3,838.61	$5,484.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,320.28 / $1,843.54 / $3,290.48	Professional		$1,320.28	$1,843.54	$3,290.48
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 $1,280.32 / $1,711.40 / $3,027.43	Professional		$1,280.32	$1,711.40	$3,027.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,208.17 / $1,469.83 / $2,380.52	Facility		$1,208.17	$1,469.83	$2,380.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,469.83 / $1,509.00 / $1,597.00	Professional		$1,469.83	$1,509.00	$1,597.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,618.50 / $3,190.10	Professional		$7.00	$1,618.50	$3,190.10
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 $1,047.94 / $1,428.35 / $3,034.46	Professional		$1,047.94	$1,428.35	$3,034.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,953.99 / $13,960.05	Facility		$55.00	$11,953.99	$13,960.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,641.99 / $14,641.99 / $14,641.99	Professional		$14,641.99	$14,641.99	$14,641.99