Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,101.96 / $3,335.06 / $13,764.00	Facility		$2,101.96	$3,335.06	$13,764.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,101.96 / $2,209.98 / $4,210.84	Professional		$2,101.96	$2,209.98	$4,210.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,476.78 / $4,168.96 / $5,821.95	Professional		$2,476.78	$4,168.96	$5,821.95
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 $2,397.28 / $3,067.75 / $5,503.43	Professional		$2,397.28	$3,067.75	$5,503.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,101.96 / $2,708.36 / $4,476.18	Facility		$2,101.96	$2,708.36	$4,476.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,708.36 / $2,747.00 / $2,747.00	Professional		$2,708.36	$2,747.00	$2,747.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $2,769.60 / $5,722.60	Professional		$10.00	$2,769.60	$5,722.60
United Facility/Professional Facility Modifier Low / Median / High Price $8,153.00 / $21,463.00 / $29,047.00	Facility		$8,153.00	$21,463.00	$29,047.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,836.96 / $2,696.61 / $5,573.47	Professional		$1,836.96	$2,696.61	$5,573.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $26,836.26 / $26,836.26	Facility		$55.00	$26,836.26	$26,836.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $31,286.77 / $31,286.77 / $31,286.77	Professional		$31,286.77	$31,286.77	$31,286.77