Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.40 / $1,610.29 / $10,561.00	Facility		$1,002.40	$1,610.29	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.40 / $1,049.01 / $2,143.67	Professional		$1,002.40	$1,049.01	$2,143.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,213.43 / $2,145.09 / $2,848.94	Professional		$1,213.43	$2,145.09	$2,848.94
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 $1,146.72 / $1,478.61 / $2,601.84	Professional		$1,146.72	$1,478.61	$2,601.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,002.40 / $1,432.00 / $2,365.66	Facility		$1,002.40	$1,432.00	$2,365.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,281.00 / $1,281.00 / $1,335.80	Professional		$1,281.00	$1,281.00	$1,335.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $1,300.90 / $3,185.00	Professional		$13.00	$1,300.90	$3,185.00
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 $908.14 / $1,252.08 / $2,507.06	Professional		$908.14	$1,252.08	$2,507.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,067.66 / $16,067.66	Facility		$55.00	$16,067.66	$16,067.66
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,908.28 / $11,477.92 / $11,477.92	Professional		$9,908.28	$11,477.92	$11,477.92