Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.13 / $1,464.82 / $12,615.00	Facility		$919.13	$1,464.82	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.13 / $967.15 / $1,766.94	Professional		$919.13	$967.15	$1,766.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,790.43 / $5,790.43 / $5,874.92	Facility		$5,790.43	$5,790.43	$5,874.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,092.97 / $1,864.29 / $2,442.14	Professional		$1,092.97	$1,864.29	$2,442.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $17,236.78	Facility		$852.10	$852.10	$17,236.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.54 / $1,329.20 / $2,336.67	Professional		$1,028.54	$1,329.20	$2,336.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $919.13 / $1,145.00 / $1,902.73	Facility		$919.13	$1,145.00	$1,902.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $1,166.00 / $1,215.00	Professional		$815.00	$1,166.00	$1,215.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,234.20 / $2,395.19	Professional		$3.00	$1,234.20	$2,395.19
United Facility/Professional Facility Modifier Low / Median / High Price $8,153.00 / $21,463.00 / $29,047.00	Facility		$8,153.00	$21,463.00	$29,047.00
United Facility/Professional Professional Modifier Low / Median / High Price $809.61 / $1,153.02 / $2,449.86	Professional		$809.61	$1,153.02	$2,449.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,526.00 / $49,720.55 / $56,964.45	Facility		$3,526.00	$49,720.55	$56,964.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,802.24 / $6,802.24 / $8,111.63	Professional		$6,802.24	$6,802.24	$8,111.63