Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,186.57 / $1,849.00 / $12,615.00	Facility		$1,186.57	$1,849.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,186.57 / $1,249.58 / $2,366.36	Professional		$1,186.57	$1,249.58	$2,366.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,319.22 / $2,353.48 / $3,232.90	Professional		$1,319.22	$2,353.48	$3,232.90
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 $1,285.33 / $1,702.27 / $3,071.73	Professional		$1,285.33	$1,702.27	$3,071.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,186.57 / $1,559.00 / $2,400.92	Facility		$1,186.57	$1,559.00	$2,400.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,486.00 / $1,486.00 / $1,570.00	Professional		$1,486.00	$1,486.00	$1,570.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,593.30 / $3,223.00	Professional		$4.00	$1,593.30	$3,223.00
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 $1,036.07 / $1,457.59 / $3,250.53	Professional		$1,036.07	$1,457.59	$3,250.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,979.10 / $6,979.10	Facility		$55.00	$6,979.10	$6,979.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,751.99 / $10,751.99 / $10,751.99	Professional		$10,751.99	$10,751.99	$10,751.99