Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,107.42 / $1,730.94 / $8,413.00	Facility		$1,107.42	$1,730.94	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,107.42 / $1,167.39 / $2,206.67	Professional		$1,107.42	$1,167.39	$2,206.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,311.30 / $1,311.30 / $1,330.43	Facility		$1,311.30	$1,311.30	$1,330.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,319.91 / $2,189.07 / $3,013.73	Professional		$1,319.91	$2,189.07	$3,013.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,062.80	Facility		$606.10	$606.10	$2,062.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,226.67 / $1,608.10 / $2,911.95	Professional		$1,226.67	$1,608.10	$2,911.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,107.42 / $1,488.00 / $2,361.55	Facility		$1,107.42	$1,488.00	$2,361.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $1,425.00 / $1,447.00	Professional		$579.00	$1,425.00	$1,447.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,463.80 / $3,040.10	Professional		$5.00	$1,463.80	$3,040.10
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,733.00 / $6,543.00	Facility		$900.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $981.00 / $1,380.44 / $2,754.27	Professional		$981.00	$1,380.44	$2,754.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,343.80 / $7,715.16 / $26,542.00	Facility		$6,343.80	$7,715.16	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,189.53 / $11,189.53 / $11,189.53	Professional		$11,189.53	$11,189.53	$11,189.53