Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,565.59 / $2,494.94 / $15,291.00	Facility		$1,565.59	$2,494.94	$15,291.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,565.59 / $1,671.56 / $3,062.88	Professional		$1,565.59	$1,671.56	$3,062.88
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 $1,248.51 / $2,442.73 / $4,442.74	Professional		$1,248.51	$2,442.73	$4,442.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,182.48 / $1,182.48 / $8,416.31	Facility		$1,182.48	$1,182.48	$8,416.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,665.73 / $2,244.66 / $3,975.84	Professional		$1,665.73	$2,244.66	$3,975.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,565.59 / $1,956.19 / $3,184.82	Facility		$1,565.59	$1,956.19	$3,184.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,123.00 / $1,985.00 / $2,052.00	Professional		$1,123.00	$1,985.00	$2,052.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,087.80 / $4,179.39	Professional		$7.00	$2,087.80	$4,179.39
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 $1,402.29 / $2,066.53 / $4,062.36	Professional		$1,402.29	$2,066.53	$4,062.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $11,836.96 / $26,542.00 / $27,814.40	Facility		$11,836.96	$26,542.00	$27,814.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $23,959.18 / $23,959.18 / $23,959.18	Professional		$23,959.18	$23,959.18	$23,959.18