Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,356.12 / $1,991.92 / $10,561.00	Facility		$1,356.12	$1,991.92	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,356.12 / $1,424.41 / $2,519.50	Professional		$1,356.12	$1,424.41	$2,519.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,430.33 / $2,013.05 / $3,394.81	Professional		$1,430.33	$2,013.05	$3,394.81
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 $1,401.05 / $1,856.69 / $3,283.78	Professional		$1,401.05	$1,856.69	$3,283.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,320.00 / $1,648.00 / $2,698.96	Facility		$1,320.00	$1,648.00	$2,698.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $1,642.00 / $1,773.00	Professional		$716.00	$1,642.00	$1,773.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,811.30 / $3,436.80	Professional		$3.00	$1,811.30	$3,436.80
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 $1,122.24 / $1,600.96 / $3,712.94	Professional		$1,122.24	$1,600.96	$3,712.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,124.32 / $8,957.00 / $26,542.00	Facility		$5,124.32	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,203.00 / $10,203.00 / $11,810.48	Professional		$10,203.00	$10,203.00	$11,810.48