Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,178.56 / $4,350.00 / $13,764.00	Facility		$1,178.56	$4,350.00	$13,764.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,178.56 / $1,178.56 / $1,372.71	Professional		$1,178.56	$1,178.56	$1,372.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,552.83 / $2,552.83 / $2,590.07	Facility		$2,552.83	$2,552.83	$2,590.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,171.94 / $1,730.30 / $3,206.39	Professional		$1,171.94	$1,730.30	$3,206.39
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 $1,073.25 / $1,622.07 / $3,012.57	Professional		$1,073.25	$1,622.07	$3,012.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,178.56 / $1,408.07 / $2,137.36	Facility		$1,178.56	$1,408.07	$2,137.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,408.07 / $1,408.07 / $1,538.00	Professional		$1,408.07	$1,408.07	$1,538.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $1,470.10	Professional		$10.00	$10.00	$1,470.10
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 $954.91 / $1,381.51 / $2,925.70	Professional		$954.91	$1,381.51	$2,925.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,034.36 / $15,034.36	Facility		$55.00	$15,034.36	$15,034.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,587.96 / $10,295.48 / $10,295.48	Professional		$9,587.96	$10,295.48	$10,295.48