Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,673.27 / $2,741.80 / $13,764.00	Facility		$1,673.27	$2,741.80	$13,764.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,775.09 / $1,867.48 / $3,560.48	Professional		$1,775.09	$1,867.48	$3,560.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,966.92 / $3,567.45 / $5,081.57	Professional		$1,966.92	$3,567.45	$5,081.57
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 $1,881.02 / $2,482.21 / $4,595.22	Professional		$1,881.02	$2,482.21	$4,595.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,775.09 / $2,159.12 / $3,514.82	Facility		$1,775.09	$2,159.12	$3,514.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,159.12 / $2,281.00 / $2,329.00	Professional		$2,159.12	$2,281.00	$2,329.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $2,392.10 / $4,817.50	Professional		$10.00	$2,392.10	$4,817.50
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 $1,520.10 / $2,117.54 / $4,712.64	Professional		$1,520.10	$2,117.54	$4,712.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,771.10 / $22,771.10	Facility		$55.00	$22,771.10	$22,771.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $18,574.00 / $18,574.00 / $18,574.00	Professional		$18,574.00	$18,574.00	$18,574.00