Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,678.19 / $12,615.00	Facility		$1,410.00	$2,678.19	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,724.66 / $1,816.97 / $3,209.12	Professional		$1,724.66	$1,816.97	$3,209.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,061.02 / $1,701.09 / $4,559.68	Professional		$1,061.02	$1,701.09	$4,559.68
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 $1,044.39 / $2,223.81 / $4,494.38	Professional		$1,044.39	$2,223.81	$4,494.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,279.00 / $1,759.15 / $3,237.30	Facility		$1,279.00	$1,759.15	$3,237.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,908.31 / $2,204.00 / $2,263.00	Professional		$1,908.31	$2,204.00	$2,263.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,287.69 / $4,503.70	Professional		$5.00	$2,287.69	$4,503.70
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 $1,013.38 / $1,936.39 / $4,729.22	Professional		$1,013.38	$1,936.39	$4,729.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,067.86 / $12,067.86	Facility		$55.00	$12,067.86	$12,067.86
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,673.12 / $12,673.12 / $15,118.88	Professional		$12,673.12	$12,673.12	$15,118.88