Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,219.78 / $1,868.45 / $12,615.00	Facility		$1,219.78	$1,868.45	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.78 / $1,284.67 / $2,272.50	Professional		$1,219.78	$1,284.67	$2,272.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,279.00 / $2,337.55 / $3,243.10	Professional		$1,279.00	$2,337.55	$3,243.10
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 $1,204.88 / $1,695.20 / $3,145.59	Professional		$1,204.88	$1,695.20	$3,145.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,219.78 / $1,526.84 / $2,382.96	Facility		$1,219.78	$1,526.84	$2,382.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,526.84 / $1,538.00 / $1,605.00	Professional		$1,526.84	$1,538.00	$1,605.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,625.60 / $3,286.80	Professional		$5.00	$1,625.60	$3,286.80
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 $1,052.19 / $1,454.47 / $3,245.34	Professional		$1,052.19	$1,454.47	$3,245.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,560.79 / $8,560.79	Facility		$55.00	$8,560.79	$8,560.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,988.16 / $8,988.16 / $10,716.75	Professional		$8,988.16	$8,988.16	$10,716.75