Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.82 / $1,566.66 / $12,615.00	Facility		$986.82	$1,566.66	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.82 / $1,037.85 / $1,917.92	Professional		$986.82	$1,037.85	$1,917.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,176.40 / $2,006.60 / $2,660.64	Professional		$1,176.40	$2,006.60	$2,660.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $24,090.78	Facility		$852.10	$852.10	$24,090.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.46 / $1,433.46 / $2,528.56	Professional		$1,116.46	$1,433.46	$2,528.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $986.82 / $1,238.17 / $2,034.01	Facility		$986.82	$1,238.17	$2,034.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $1,249.00 / $1,303.00	Professional		$815.00	$1,249.00	$1,303.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,322.90 / $2,661.10	Professional		$4.00	$1,322.90	$2,661.10
United Facility/Professional Facility Modifier Low / Median / High Price $8,153.00 / $21,463.00 / $29,047.00	Facility		$8,153.00	$21,463.00	$29,047.00
United Facility/Professional Professional Modifier Low / Median / High Price $871.67 / $1,232.57 / $2,449.58	Professional		$871.67	$1,232.57	$2,449.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,727.85 / $69,491.31 / $79,615.70	Facility		$4,727.85	$69,491.31	$79,615.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,433.26 / $7,433.26 / $8,699.85	Professional		$7,433.26	$7,433.26	$8,699.85