Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,049.64 / $1,635.00 / $10,561.00	Facility		$1,049.64	$1,635.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.64 / $1,104.00 / $2,036.15	Professional		$1,049.64	$1,104.00	$2,036.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,224.04 / $1,683.01 / $2,817.97	Professional		$1,224.04	$1,683.01	$2,817.97
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 $1,177.57 / $1,519.38 / $2,643.09	Professional		$1,177.57	$1,519.38	$2,643.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,049.64 / $1,463.74 / $2,150.56	Facility		$1,049.64	$1,463.74	$2,150.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,310.00 / $1,310.00 / $1,383.00	Professional		$1,310.00	$1,310.00	$1,383.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,402.40 / $2,813.30	Professional		$4.00	$1,402.40	$2,813.30
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 $927.68 / $1,325.07 / $2,607.44	Professional		$927.68	$1,325.07	$2,607.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $6,145.60 / $6,145.60	Facility		$2,000.00	$6,145.60	$6,145.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,214.82 / $9,214.82 / $9,224.70	Professional		$9,214.82	$9,214.82	$9,224.70