Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,255.56 / $12,615.00	Facility		$1,410.00	$2,255.56	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,498.12 / $1,576.50 / $2,788.86	Professional		$1,498.12	$1,576.50	$2,788.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,136.51 / $1,996.68 / $3,954.86	Professional		$1,136.51	$1,996.68	$3,954.86
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 $1,142.95 / $1,973.06 / $3,897.31	Professional		$1,142.95	$1,973.06	$3,897.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $1,608.92 / $2,712.77	Facility		$1,380.00	$1,608.92	$2,712.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,694.46 / $1,854.00 / $1,969.00	Professional		$1,694.46	$1,854.00	$1,969.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,992.80 / $3,939.10	Professional		$4.00	$1,992.80	$3,939.10
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 $1,097.23 / $1,606.35 / $3,750.43	Professional		$1,097.23	$1,606.35	$3,750.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,752.15 / $8,752.15	Facility		$55.00	$8,752.15	$8,752.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,028.08 / $11,028.08 / $13,152.23	Professional		$11,028.08	$11,028.08	$13,152.23