Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,168.69 / $10,471.29	Facility		$1,621.81	$4,168.69	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $2,754.23	Professional		$1,023.29	$1,174.90	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,715.35	Facility		$3,630.78	$3,630.78	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $3,090.30	Professional		$1,148.15	$1,584.89	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $2,818.38	Professional		$1,174.90	$1,698.24	$2,818.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,630.27	Professional		$2,290.87	$2,290.87	$2,630.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,454.71	Facility		$1,096.48	$1,548.82	$2,454.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,398.83	Professional		$1,548.82	$1,949.84	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,748.98 / $18,620.87	Facility		$5,011.87	$11,748.98	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $2,344.23	Professional		$954.99	$1,318.26	$2,344.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $25,703.96 / $25,703.96 / $33,884.42	Facility		$25,703.96	$25,703.96	$33,884.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $9,772.37	Professional		$8,912.51	$8,912.51	$9,772.37