Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.37 / $1,293.59 / $10,561.00	Facility		$816.37	$1,293.59	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $816.37 / $859.21 / $1,602.56	Professional		$816.37	$859.21	$1,602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,665.09 / $3,665.09 / $3,718.57	Facility		$3,665.09	$3,665.09	$3,718.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.26 / $1,260.56 / $2,195.66	Professional		$718.26	$1,260.56	$2,195.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $6,025.59	Facility		$748.70	$748.70	$6,025.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.38 / $1,153.50 / $2,080.23	Professional		$899.38	$1,153.50	$2,080.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $816.37 / $1,041.00 / $1,626.19	Facility		$816.37	$1,041.00	$1,626.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $1,032.00 / $1,084.00	Professional		$716.00	$1,032.00	$1,084.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,101.90 / $2,174.69	Professional		$4.00	$1,101.90	$2,174.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $696.97 / $992.91 / $2,177.92	Professional		$696.97	$992.91	$2,177.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,924.25 / $19,913.50 / $26,542.00	Facility		$3,924.25	$19,913.50	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,062.72 / $6,062.72 / $7,224.75	Professional		$6,062.72	$6,062.72	$7,224.75