Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $3,875.00 / $12,615.00	Facility		$1,615.00	$3,875.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,647.89 / $1,735.33 / $3,033.98	Professional		$1,647.89	$1,735.33	$3,033.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,075.35 / $3,243.95 / $4,688.22	Professional		$2,075.35	$3,243.95	$4,688.22
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 $1,863.66 / $2,583.91 / $4,409.35	Professional		$1,863.66	$2,583.91	$4,409.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,647.89 / $2,421.23 / $3,199.50	Facility		$1,647.89	$2,421.23	$3,199.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,123.00 / $2,123.00 / $2,421.23	Professional		$2,123.00	$2,123.00	$2,421.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $2,153.00	Professional		$12.00	$12.00	$2,153.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,555.89 / $2,223.94 / $4,651.04	Professional		$1,555.89	$2,223.94	$4,651.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,533.21 / $24,533.21	Facility		$55.00	$24,533.21	$24,533.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,832.64 / $14,365.35 / $14,365.35	Professional		$11,832.64	$14,365.35	$14,365.35