Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.74 / $6,953.60 / $13,764.00	Facility		$742.74	$6,953.60	$13,764.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,388.17 / $1,550.36 / $4,061.92	Professional		$1,388.17	$1,550.36	$4,061.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,541.51 / $2,275.96 / $4,218.66	Professional		$1,541.51	$2,275.96	$4,218.66
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 $1,412.57 / $2,134.19 / $3,963.76	Professional		$1,412.57	$2,134.19	$3,963.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,550.36 / $1,852.98 / $2,812.44	Facility		$1,550.36	$1,852.98	$2,812.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,852.98 / $1,852.98 / $2,024.00	Professional		$1,852.98	$1,852.98	$2,024.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $1,733.80	Professional		$15.00	$15.00	$1,733.80
United Facility/Professional Facility Modifier Low / Median / High Price $5,020.00 / $10,968.00 / $17,964.00	Facility		$5,020.00	$10,968.00	$17,964.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,156.53 / $1,680.85 / $3,480.10	Professional		$1,156.53	$1,680.85	$3,480.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $28,774.24 / $28,774.24	Facility		$55.00	$28,774.24	$28,774.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,045.20 / $14,045.20 / $14,268.77	Professional		$14,045.20	$14,045.20	$14,268.77