Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.90 / $1,917.69 / $8,413.00	Facility		$1,296.90	$1,917.69	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,360.32 / $1,448.79 / $2,541.33	Professional		$1,360.32	$1,448.79	$2,541.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,541.03 / $2,175.44 / $3,678.79	Professional		$1,541.03	$2,175.44	$3,678.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $6,025.59	Facility		$606.10	$606.10	$6,025.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,505.23 / $1,992.70 / $3,398.66	Professional		$1,505.23	$1,992.70	$3,398.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,372.27 / $1,832.45 / $2,812.94	Facility		$1,372.27	$1,832.45	$2,812.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $1,580.00 / $1,777.00	Professional		$579.00	$1,580.00	$1,777.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,813.40 / $3,630.60	Professional		$3.00	$1,813.40	$3,630.60
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 $1,194.18 / $1,755.36 / $3,638.82	Professional		$1,194.18	$1,755.36	$3,638.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,136.47 / $19,913.50 / $26,542.00	Facility		$5,136.47	$19,913.50	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,934.95 / $9,934.95 / $11,834.48	Professional		$9,934.95	$9,934.95	$11,834.48