Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,097.22 / $1,615.00 / $7,439.00	Facility		$1,097.22	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.22 / $1,155.96 / $2,136.92	Professional		$1,097.22	$1,155.96	$2,136.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,237.48 / $1,701.50 / $2,982.45	Professional		$1,237.48	$1,701.50	$2,982.45
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 $1,158.33 / $1,554.98 / $2,836.27	Professional		$1,158.33	$1,554.98	$2,836.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,097.22 / $1,409.00 / $2,161.80	Facility		$1,097.22	$1,409.00	$2,161.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,342.71 / $1,374.00 / $1,450.00	Professional		$1,342.71	$1,374.00	$1,450.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $1,470.80 / $2,945.90	Professional		$9.00	$1,470.80	$2,945.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,317.00 / $13,946.00 / $21,454.00	Facility		$4,317.00	$13,946.00	$21,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $961.76 / $1,318.45 / $2,922.39	Professional		$961.76	$1,318.45	$2,922.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,889.40 / $12,889.40	Facility		$55.00	$12,889.40	$12,889.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,117.76 / $8,117.76 / $9,675.60	Professional		$8,117.76	$8,117.76	$9,675.60