Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.33 / $1,615.49 / $12,615.00	Facility		$1,011.33	$1,615.49	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,011.33 / $1,063.05 / $1,888.90	Professional		$1,011.33	$1,063.05	$1,888.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,185.69 / $1,700.37 / $2,749.12	Professional		$1,185.69	$1,700.37	$2,749.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $6,025.59	Facility		$852.10	$852.10	$6,025.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,139.81 / $1,477.19 / $2,583.36	Professional		$1,139.81	$1,477.19	$2,583.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,011.33 / $1,272.05 / $2,060.42	Facility		$1,011.33	$1,272.05	$2,060.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $1,286.00 / $1,338.00	Professional		$815.00	$1,286.00	$1,338.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,356.00 / $2,759.30	Professional		$3.00	$1,356.00	$2,759.30
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 $869.75 / $1,207.35 / $2,518.48	Professional		$869.75	$1,207.35	$2,518.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,872.44 / $19,913.50 / $26,542.00	Facility		$3,872.44	$19,913.50	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,502.96 / $7,502.96 / $8,885.25	Professional		$7,502.96	$7,502.96	$8,885.25