Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,428.67 / $2,215.98 / $12,615.00	Facility		$1,428.67	$2,215.98	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,428.67 / $1,513.58 / $2,858.04	Professional		$1,428.67	$1,513.58	$2,858.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,674.78 / $2,832.04 / $3,888.41	Professional		$1,674.78	$2,832.04	$3,888.41
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 $1,594.96 / $2,053.46 / $3,709.95	Professional		$1,594.96	$2,053.46	$3,709.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,428.67 / $1,888.00 / $2,955.50	Facility		$1,428.67	$1,888.00	$2,955.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,815.41 / $1,823.00 / $1,877.00	Professional		$1,815.41	$1,823.00	$1,877.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,900.20 / $3,878.40	Professional		$6.00	$1,900.20	$3,878.40
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 $1,233.77 / $1,731.31 / $3,796.78	Professional		$1,233.77	$1,731.31	$3,796.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,682.23 / $11,682.23	Facility		$55.00	$11,682.23	$11,682.23
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,537.83 / $13,557.05 / $13,557.05	Professional		$12,537.83	$13,557.05	$13,557.05