Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,502.65 / $2,353.58 / $12,615.00	Facility		$1,502.65	$2,353.58	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.65 / $1,578.85 / $2,801.30	Professional		$1,502.65	$1,578.85	$2,801.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,622.24 / $12,622.24 / $18,035.59	Facility		$12,622.24	$12,622.24	$18,035.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,901.56 / $2,690.27 / $4,165.74	Professional		$1,901.56	$2,690.27	$4,165.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $15,452.03	Facility		$606.10	$606.10	$15,452.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,714.87 / $2,342.00 / $3,910.82	Professional		$1,714.87	$2,342.00	$3,910.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,502.65 / $2,047.84 / $2,815.18	Facility		$1,502.65	$2,047.84	$2,815.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,936.00 / $1,936.00 / $2,047.84	Professional		$1,936.00	$1,936.00	$2,047.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $1,996.70	Professional		$7.00	$7.00	$1,996.70
United Facility/Professional Facility Modifier Low / Median / High Price $8,917.00 / $20,562.00 / $28,286.00	Facility		$8,917.00	$20,562.00	$28,286.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,369.38 / $2,022.72 / $3,680.56	Professional		$1,369.38	$2,022.72	$3,680.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $44,572.31 / $51,066.20	Facility		$55.00	$44,572.31	$51,066.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,082.40 / $13,142.03 / $13,142.03	Professional		$11,082.40	$13,142.03	$13,142.03