Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,492.36 / $2,415.16 / $12,615.00	Facility		$1,492.36	$2,415.16	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,419.50 / $1,625.50 / $2,874.43	Professional		$1,419.50	$1,625.50	$2,874.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,673.06 / $2,907.80 / $4,169.70	Professional		$1,673.06	$2,907.80	$4,169.70
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 $1,530.91 / $2,095.67 / $4,016.84	Professional		$1,530.91	$2,095.67	$4,016.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,544.31 / $1,911.03 / $3,032.51	Facility		$1,544.31	$1,911.03	$3,032.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,911.03 / $1,988.00 / $2,027.00	Professional		$1,911.03	$1,988.00	$2,027.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,050.80 / $4,150.20	Professional		$6.00	$2,050.80	$4,150.20
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 $1,335.27 / $1,821.37 / $3,866.48	Professional		$1,335.27	$1,821.37	$3,866.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,615.19 / $12,615.19	Facility		$55.00	$12,615.19	$12,615.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,541.70 / $15,183.90 / $15,183.90	Professional		$13,541.70	$15,183.90	$15,183.90