Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,768.57 / $2,927.92 / $13,764.00	Facility		$1,768.57	$2,927.92	$13,764.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,901.87 / $2,002.27 / $3,816.69	Professional		$1,901.87	$2,002.27	$3,816.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,088.67 / $3,336.75 / $5,105.52	Professional		$2,088.67	$3,336.75	$5,105.52
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 $1,998.29 / $2,662.69 / $4,926.32	Professional		$1,998.29	$2,662.69	$4,926.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,901.87 / $2,307.69 / $3,731.41	Facility		$1,901.87	$2,307.69	$3,731.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,307.69 / $2,435.00 / $2,498.00	Professional		$2,307.69	$2,435.00	$2,498.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,566.60 / $2,919.78 / $3,195.14	Professional		$2,566.60	$2,919.78	$3,195.14
United Facility/Professional Facility Modifier Low / Median / High Price $8,153.00 / $21,453.00 / $28,898.00	Facility		$8,153.00	$21,453.00	$28,898.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,630.96 / $2,277.10 / $5,213.04	Professional		$1,630.96	$2,277.10	$5,213.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,428.03 / $24,428.03	Facility		$55.00	$24,428.03	$24,428.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,694.52 / $13,694.52 / $17,701.28	Professional		$13,694.52	$13,694.52	$17,701.28