Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.63 / $7,439.00 / $14,472.00	Facility		$1,166.63	$7,439.00	$14,472.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.63 / $1,223.72 / $2,333.66	Professional		$1,166.63	$1,223.72	$2,333.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.87 / $2,226.87 / $2,259.36	Facility		$2,226.87	$2,226.87	$2,259.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,293.00 / $1,843.63 / $3,117.69	Professional		$1,293.00	$1,843.63	$3,117.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $2,710.28	Facility		$748.70	$748.70	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,267.27 / $1,680.95 / $2,845.92	Professional		$1,267.27	$1,680.95	$2,845.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,166.63 / $1,561.00 / $2,401.64	Facility		$1,166.63	$1,561.00	$2,401.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $1,396.00 / $1,516.00	Professional		$716.00	$1,396.00	$1,516.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,548.30 / $3,023.40	Professional		$3.00	$1,548.30	$3,023.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.04 / $1,459.16 / $3,127.13	Professional		$1,012.04	$1,459.16	$3,127.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,379.08 / $8,957.00 / $26,542.00	Facility		$4,379.08	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,474.08 / $8,474.08 / $10,092.23	Professional		$8,474.08	$8,474.08	$10,092.23