Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.84 / $1,332.66 / $8,413.00	Facility		$834.84	$1,332.66	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $834.84 / $879.16 / $1,624.11	Professional		$834.84	$879.16	$1,624.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,503.36 / $2,503.36 / $2,539.89	Facility		$2,503.36	$2,503.36	$2,539.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.82 / $1,322.48 / $2,267.48	Professional		$961.82	$1,322.48	$2,267.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,710.28	Facility		$606.10	$606.10	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.38 / $1,193.19 / $2,143.21	Professional		$926.38	$1,193.19	$2,143.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $834.84 / $1,043.00 / $1,687.73	Facility		$834.84	$1,043.00	$1,687.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $1,063.00 / $1,103.00	Professional		$579.00	$1,063.00	$1,103.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,120.20 / $2,251.60	Professional		$6.00	$1,120.20	$2,251.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.43 / $1,021.40 / $2,071.63	Professional		$715.43	$1,021.40	$2,071.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,599.65 / $8,957.00 / $26,542.00	Facility		$5,599.65	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,177.44 / $6,177.44 / $7,358.10	Professional		$6,177.44	$6,177.44	$7,358.10