Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $3,168.37 / $12,615.00	Facility		$1,615.00	$3,168.37	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,033.37 / $2,139.57 / $3,778.26	Professional		$2,033.37	$2,139.57	$3,778.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,389.23 / $4,280.71 / $5,670.25	Professional		$2,389.23	$4,280.71	$5,670.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,320.05 / $3,029.72 / $5,311.93	Professional		$2,320.05	$3,029.72	$5,311.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,033.37 / $2,672.50 / $4,595.42	Facility		$2,033.37	$2,672.50	$4,595.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,607.00 / $2,607.00 / $2,659.00	Professional		$2,607.00	$2,607.00	$2,659.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $2,685.80 / $5,545.50	Professional		$10.00	$2,685.80	$5,545.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,825.44 / $2,559.40 / $5,684.34	Professional		$1,825.44	$2,559.40	$5,684.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $26,003.23 / $26,003.23	Facility		$55.00	$26,003.23	$26,003.23
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,898.96 / $14,898.96 / $17,772.15	Professional		$14,898.96	$14,898.96	$17,772.15