Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.44 / $1,477.09 / $10,561.00	Facility		$779.44	$1,477.09	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.44 / $823.01 / $1,578.75	Professional		$779.44	$823.01	$1,578.75
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 $1,001.64 / $1,363.03 / $2,503.09	Professional		$1,001.64	$1,363.03	$2,503.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $6,392.41	Facility		$748.70	$748.70	$6,392.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $929.00 / $1,224.89 / $2,256.04	Professional		$929.00	$1,224.89	$2,256.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $779.44 / $1,144.28 / $1,772.02	Facility		$779.44	$1,144.28	$1,772.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $1,177.00 / $1,177.00	Professional		$716.00	$1,177.00	$1,177.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,050.50 / $2,545.30	Professional		$5.00	$1,050.50	$2,545.30
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 $739.30 / $1,071.48 / $2,095.13	Professional		$739.30	$1,071.48	$2,095.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,484.39 / $21,125.75 / $26,542.00	Facility		$4,484.39	$21,125.75	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,584.09 / $8,584.09 / $8,584.09	Professional		$8,584.09	$8,584.09	$8,584.09