Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.72 / $1,603.02 / $12,615.00	Facility		$1,023.72	$1,603.02	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.72 / $1,076.05 / $1,992.77	Professional		$1,023.72	$1,076.05	$1,992.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,322.58 / $1,881.00 / $2,790.06	Professional		$1,322.58	$1,881.00	$2,790.06
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 $1,165.54 / $1,624.30 / $2,642.06	Professional		$1,165.54	$1,624.30	$2,642.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,023.72 / $1,592.07 / $2,313.61	Facility		$1,023.72	$1,592.07	$2,313.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,340.00	Professional		$1,275.00	$1,275.00	$1,340.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,474.00 / $2,788.60	Professional		$4.00	$1,474.00	$2,788.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $935.94 / $1,450.93 / $2,802.80	Professional		$935.94	$1,450.93	$2,802.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,954.00 / $5,954.00	Facility		$55.00	$5,954.00	$5,954.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,230.76 / $8,230.76 / $8,945.54	Professional		$8,230.76	$8,230.76	$8,945.54