Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,141.31 / $1,757.69 / $10,561.00	Facility		$1,141.31	$1,757.69	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.31 / $1,201.53 / $2,243.96	Professional		$1,141.31	$1,201.53	$2,243.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,519.36 / $2,435.92 / $3,172.51	Professional		$1,519.36	$2,435.92	$3,172.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $7,637.23	Facility		$748.70	$748.70	$7,637.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.17 / $1,826.09 / $2,937.93	Professional		$1,304.17	$1,826.09	$2,937.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,141.31 / $1,731.87 / $2,579.36	Facility		$1,141.31	$1,731.87	$2,579.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $1,447.00 / $1,504.00	Professional		$716.00	$1,447.00	$1,504.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,524.20 / $3,134.00	Professional		$3.00	$1,524.20	$3,134.00
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 $1,017.14 / $1,487.19 / $2,838.94	Professional		$1,017.14	$1,487.19	$2,838.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,365.08 / $25,239.65 / $26,542.00	Facility		$4,365.08	$25,239.65	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,100.92 / $9,100.92 / $10,035.23	Professional		$9,100.92	$9,100.92	$10,035.23