Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $2,289.29 / $12,615.00	Facility		$1,245.00	$2,289.29	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,469.35 / $1,547.51 / $2,736.36	Professional		$1,469.35	$1,547.51	$2,736.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,013.24 / $1,621.19 / $3,879.59	Professional		$1,013.24	$1,621.19	$3,879.59
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 $1,004.82 / $1,911.03 / $3,824.08	Professional		$1,004.82	$1,911.03	$3,824.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,238.00 / $1,544.66 / $2,752.74	Facility		$1,238.00	$1,544.66	$2,752.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,640.86 / $1,885.00 / $1,932.00	Professional		$1,640.86	$1,885.00	$1,932.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,955.50 / $3,849.10	Professional		$5.00	$1,955.50	$3,849.10
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 $970.72 / $1,654.08 / $4,043.76	Professional		$970.72	$1,654.08	$4,043.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,305.24 / $10,305.24	Facility		$55.00	$10,305.24	$10,305.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,821.60 / $10,821.60 / $12,901.28	Professional		$10,821.60	$10,821.60	$12,901.28