Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $4,376.00 / $18,201.32	Facility		$1,245.00	$4,376.00	$18,201.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,558.89 / $1,722.90 / $3,023.01	Professional		$1,558.89	$1,722.90	$3,023.01
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 $1,784.18 / $2,814.50 / $4,350.82	Professional		$1,784.18	$2,814.50	$4,350.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $2,710.28	Facility		$530.04	$530.04	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,736.14 / $2,348.85 / $4,088.92	Professional		$1,736.14	$2,348.85	$4,088.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,632.93 / $2,128.00 / $3,223.49	Facility		$1,632.93	$2,128.00	$3,223.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $2,023.00 / $2,113.00	Professional		$507.00	$2,023.00	$2,113.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $2,150.69 / $4,237.50	Professional		$3.00	$2,150.69	$4,237.50
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 $1,376.91 / $1,968.49 / $4,258.58	Professional		$1,376.91	$1,968.49	$4,258.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,116.80 / $8,957.00 / $16,394.00	Facility		$6,116.80	$8,957.00	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,065.64 / $12,065.64 / $14,079.98	Professional		$12,065.64	$12,065.64	$14,079.98