Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.31 / $1,692.99 / $12,615.00	Facility		$1,065.31	$1,692.99	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,065.31 / $1,119.78 / $2,070.42	Professional		$1,065.31	$1,119.78	$2,070.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,255.79 / $5,255.79 / $5,332.48	Facility		$5,255.79	$5,255.79	$5,332.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,254.99 / $1,742.79 / $2,872.60	Professional		$1,254.99	$1,742.79	$2,872.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $15,409.80	Facility		$852.10	$852.10	$15,409.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.34 / $1,547.48 / $2,736.51	Professional		$1,206.34	$1,547.48	$2,736.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,065.31 / $1,337.45 / $2,197.78	Facility		$1,065.31	$1,337.45	$2,197.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $1,349.00 / $1,404.00	Professional		$815.00	$1,349.00	$1,404.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,423.60 / $1,551.59 / $1,805.45	Professional		$1,423.60	$1,551.59	$1,805.45
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 $914.06 / $1,270.42 / $2,646.81	Professional		$914.06	$1,270.42	$2,646.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,092.75 / $44,450.50 / $50,926.60	Facility		$5,092.75	$44,450.50	$50,926.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,976.49 / $7,976.49 / $9,366.15	Professional		$7,976.49	$7,976.49	$9,366.15