Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,567.10 / $2,272.32 / $13,764.00	Facility		$1,567.10	$2,272.32	$13,764.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,567.10 / $1,648.85 / $2,912.51	Professional		$1,567.10	$1,648.85	$2,912.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,746.29 / $3,009.14 / $4,278.01	Professional		$1,746.29	$3,009.14	$4,278.01
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 $1,716.11 / $2,262.96 / $4,009.94	Professional		$1,716.11	$2,262.96	$4,009.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,567.10 / $2,069.00 / $3,284.78	Facility		$1,567.10	$2,069.00	$3,284.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,858.00 / $1,858.00 / $2,051.00	Professional		$1,858.00	$1,858.00	$2,051.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,072.19 / $4,213.60	Professional		$6.00	$2,072.19	$4,213.60
United Facility/Professional Facility Modifier Low / Median / High Price $8,153.00 / $21,463.00 / $29,047.00	Facility		$8,153.00	$21,463.00	$29,047.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.16 / $1,990.51 / $4,159.34	Professional		$1,393.16	$1,990.51	$4,159.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,763.03 / $12,763.03	Facility		$55.00	$12,763.03	$12,763.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,622.57 / $11,622.57 / $13,705.35	Professional		$11,622.57	$11,622.57	$13,705.35