Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,194.98 / $7,439.00	Facility		$1,615.00	$2,194.98	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,086.75 / $2,236.06 / $4,084.79	Professional		$2,086.75	$2,236.06	$4,084.79
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 $1,739.76 / $3,100.73 / $5,451.64	Professional		$1,739.76	$3,100.73	$5,451.64
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 $2,164.82 / $2,954.16 / $4,850.93	Professional		$2,164.82	$2,954.16	$4,850.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,033.00 / $2,445.27 / $4,141.51	Facility		$2,033.00	$2,445.27	$4,141.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,441.00 / $2,441.00 / $2,872.00	Professional		$2,441.00	$2,441.00	$2,872.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,913.70 / $4,965.89	Professional		$7.00	$2,913.70	$4,965.89
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 $1,857.48 / $2,614.21 / $5,416.13	Professional		$1,857.48	$2,614.21	$5,416.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,420.48 / $20,420.48	Facility		$55.00	$20,420.48	$20,420.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $24,626.21 / $24,626.21 / $24,626.21	Professional		$24,626.21	$24,626.21	$24,626.21