Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,263.49 / $1,965.96 / $12,615.00	Facility		$1,263.49	$1,965.96	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,263.49 / $1,330.81 / $2,405.96	Professional		$1,263.49	$1,330.81	$2,405.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,483.74 / $2,506.06 / $3,438.43	Professional		$1,483.74	$2,506.06	$3,438.43
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 $1,411.81 / $1,840.41 / $3,275.95	Professional		$1,411.81	$1,840.41	$3,275.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,263.49 / $1,660.00 / $2,602.96	Facility		$1,263.49	$1,660.00	$2,602.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,587.45 / $1,619.00 / $1,665.00	Professional		$1,587.45	$1,619.00	$1,665.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,686.30 / $3,420.60	Professional		$6.00	$1,686.30	$3,420.60
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 $1,137.04 / $1,652.24 / $3,471.44	Professional		$1,137.04	$1,652.24	$3,471.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,357.90 / $10,357.90	Facility		$55.00	$10,357.90	$10,357.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,321.28 / $9,321.28 / $11,111.85	Professional		$9,321.28	$9,321.28	$11,111.85