Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.40 / $1,961.05 / $12,615.00	Facility		$1,269.40	$1,961.05	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,269.40 / $1,345.94 / $2,524.42	Professional		$1,269.40	$1,345.94	$2,524.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,475.01 / $2,506.57 / $3,416.54	Professional		$1,475.01	$2,506.57	$3,416.54
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 $1,402.18 / $1,832.69 / $3,276.88	Professional		$1,402.18	$1,832.69	$3,276.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,269.40 / $1,592.01 / $2,586.66	Facility		$1,269.40	$1,592.01	$2,586.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,592.01 / $1,614.00 / $1,670.00	Professional		$1,592.01	$1,614.00	$1,670.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,691.40 / $3,410.70	Professional		$6.00	$1,691.40	$3,410.70
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 $1,113.30 / $1,633.79 / $3,163.80	Professional		$1,113.30	$1,633.79	$3,163.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,389.68 / $10,389.68	Facility		$55.00	$10,389.68	$10,389.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,350.40 / $9,350.40 / $11,145.08	Professional		$9,350.40	$9,350.40	$11,145.08