Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,098.55 / $1,701.01 / $12,615.00	Facility		$1,098.55	$1,701.01	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.86 / $1,155.33 / $2,122.71	Professional		$1,049.86	$1,155.33	$2,122.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $924.83 / $1,568.73 / $2,799.96	Professional		$924.83	$1,568.73	$2,799.96
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 $1,068.50 / $1,455.75 / $2,822.69	Professional		$1,068.50	$1,455.75	$2,822.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,098.55 / $1,258.98 / $2,031.89	Facility		$1,098.55	$1,258.98	$2,031.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.98 / $1,369.00 / $1,459.00	Professional		$1,258.98	$1,369.00	$1,459.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,503.70 / $2,809.20	Professional		$10.00	$1,503.70	$2,809.20
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 $902.13 / $1,305.57 / $2,675.70	Professional		$902.13	$1,305.57	$2,675.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,264.69 / $14,264.69	Facility		$55.00	$14,264.69	$14,264.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,990.48 / $7,990.48 / $10,254.08	Professional		$7,990.48	$7,990.48	$10,254.08