Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $3,128.57 / $12,615.00	Facility		$1,410.00	$3,128.57	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,004.88 / $2,110.61 / $3,725.29	Professional		$2,004.88	$2,110.61	$3,725.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,175.77 / $1,885.06 / $5,306.38	Professional		$1,175.77	$1,885.06	$5,306.38
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 $1,152.86 / $2,567.04 / $5,224.35	Professional		$1,152.86	$2,567.04	$5,224.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,405.68 / $2,019.58 / $3,770.74	Facility		$1,405.68	$2,019.58	$3,770.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,218.19 / $2,573.00 / $2,623.00	Professional		$2,218.19	$2,573.00	$2,623.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $2,649.30 / $5,230.80	Professional		$10.00	$2,649.30	$5,230.80
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 $1,110.16 / $2,218.44 / $4,917.96	Professional		$1,110.16	$2,218.44	$4,917.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,646.83 / $25,646.83	Facility		$55.00	$25,646.83	$25,646.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,693.84 / $14,693.84 / $17,530.43	Professional		$14,693.84	$14,693.84	$17,530.43