Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,087.50 / $5,187.95 / $10,561.00	Facility		$1,087.50	$5,187.95	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,087.50 / $1,148.64 / $2,152.69	Professional		$1,087.50	$1,148.64	$2,152.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,271.18 / $1,740.58 / $2,932.79	Professional		$1,271.18	$1,740.58	$2,932.79
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 $1,222.58 / $1,564.90 / $2,794.37	Professional		$1,222.58	$1,564.90	$2,794.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,087.50 / $1,464.00 / $2,227.34	Facility		$1,087.50	$1,464.00	$2,227.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,362.69 / $1,383.00 / $1,433.00	Professional		$1,362.69	$1,383.00	$1,433.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,573.54 / $2,931.00	Professional		$6.00	$1,573.54	$2,931.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $933.54 / $1,332.25 / $2,893.41	Professional		$933.54	$1,332.25	$2,893.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,916.04 / $8,916.04	Facility		$55.00	$8,916.04	$8,916.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,741.03 / $8,741.03 / $9,562.50	Professional		$8,741.03	$8,741.03	$9,562.50