Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.80 / $1,849.00 / $12,615.00	Facility		$1,282.80	$1,849.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,224.09 / $1,282.80 / $2,394.57	Professional		$1,224.09	$1,282.80	$2,394.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,414.40 / $1,985.89 / $3,253.96	Professional		$1,414.40	$1,985.89	$3,253.96
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 $1,360.44 / $1,743.98 / $3,037.54	Professional		$1,360.44	$1,743.98	$3,037.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,282.80 / $1,574.54 / $2,553.37	Facility		$1,282.80	$1,574.54	$2,553.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,515.00 / $1,515.00 / $1,689.00	Professional		$1,515.00	$1,515.00	$1,689.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $1,710.30 / $3,332.20	Professional		$13.00	$1,710.30	$3,332.20
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 $1,077.66 / $1,521.40 / $3,419.67	Professional		$1,077.66	$1,521.40	$3,419.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,023.52 / $21,023.52	Facility		$55.00	$21,023.52	$21,023.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,908.28 / $9,908.28 / $11,198.70	Professional		$9,908.28	$9,908.28	$11,198.70