Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.04 / $1,275.95 / $10,561.00	Facility		$813.04	$1,275.95	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.04 / $855.72 / $1,595.80	Professional		$813.04	$855.72	$1,595.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,665.09 / $3,665.09 / $3,718.57	Facility		$3,665.09	$3,665.09	$3,718.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.06 / $1,281.26 / $2,186.00	Professional		$730.06	$1,281.26	$2,186.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $6,025.59	Facility		$748.70	$748.70	$6,025.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $897.72 / $1,184.33 / $2,071.46	Professional		$897.72	$1,184.33	$2,071.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $813.04 / $1,128.00 / $1,635.50	Facility		$813.04	$1,128.00	$1,635.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $1,017.00 / $1,079.00	Professional		$716.00	$1,017.00	$1,079.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,097.20 / $2,182.40	Professional		$6.00	$1,097.20	$2,182.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $694.27 / $987.39 / $2,010.37	Professional		$694.27	$987.39	$2,010.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,470.08 / $19,913.50 / $26,542.00	Facility		$5,470.08	$19,913.50	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,132.77 / $7,132.77 / $7,192.73	Professional		$7,132.77	$7,132.77	$7,192.73