Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,164.21 / $1,849.00 / $12,615.00	Facility		$1,164.21	$1,849.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.21 / $1,225.39 / $2,323.40	Professional		$1,164.21	$1,225.39	$2,323.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,456.80 / $1,969.38 / $3,153.80	Professional		$1,456.80	$1,969.38	$3,153.80
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 $1,326.09 / $1,734.67 / $3,015.94	Professional		$1,326.09	$1,734.67	$3,015.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,164.21 / $1,674.00 / $2,474.44	Facility		$1,164.21	$1,674.00	$2,474.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,493.00 / $1,493.00 / $1,522.00	Professional		$1,493.00	$1,493.00	$1,522.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,675.26 / $3,166.00	Professional		$4.00	$1,675.26	$3,166.00
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 $1,034.32 / $1,549.38 / $2,779.79	Professional		$1,034.32	$1,549.38	$2,779.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,764.50 / $6,764.50	Facility		$55.00	$6,764.50	$6,764.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,637.49 / $9,637.49 / $10,168.35	Professional		$9,637.49	$9,637.49	$10,168.35