Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $10,000.00 / $12,022.64	Facility		$1,023.29	$10,000.00	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,905.46	Professional		$616.60	$758.58	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,778.28	Professional		$741.31	$1,122.02	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,659.59	Professional		$691.83	$933.25	$1,659.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,548.82	Professional		$1,122.02	$1,122.02	$1,548.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $1,348.96	Facility		$660.69	$891.25	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,412.54	Professional		$954.99	$1,202.26	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $9,332.54 / $14,454.40	Facility		$3,311.31	$9,332.54	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,412.54	Professional		$562.34	$741.31	$1,412.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $16,982.44 / $16,982.44	Facility		$56.23	$16,982.44	$16,982.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,888.44	Professional		$4,897.79	$4,897.79	$5,888.44