Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,059.13 / $1,635.00 / $10,561.00	Facility		$1,059.13	$1,635.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.13 / $1,059.13 / $1,243.30	Professional		$1,059.13	$1,059.13	$1,243.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $937.88 / $1,671.55 / $2,808.05	Professional		$937.88	$1,671.55	$2,808.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,173.06 / $1,513.47 / $2,627.78	Professional		$1,173.06	$1,513.47	$2,627.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,059.13 / $1,275.38 / $1,958.70	Facility		$1,059.13	$1,275.38	$1,958.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,275.38 / $1,275.38 / $1,411.00	Professional		$1,275.38	$1,275.38	$1,411.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $1,433.90	Professional		$4.00	$4.00	$1,433.90
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 $915.27 / $1,578.39 / $2,772.68	Professional		$915.27	$1,578.39	$2,772.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,269.45 / $6,269.45	Facility		$55.00	$6,269.45	$6,269.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,883.44 / $9,444.83 / $9,444.83	Professional		$7,883.44	$9,444.83	$9,444.83