Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.88 / $1,410.00 / $12,615.00	Facility		$1,015.88	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.88 / $1,068.93 / $1,895.72	Professional		$1,015.88	$1,068.93	$1,895.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,183.04 / $2,015.09 / $2,744.23	Professional		$1,183.04	$2,015.09	$2,744.23
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 $1,102.63 / $1,435.04 / $2,486.21	Professional		$1,102.63	$1,435.04	$2,486.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,015.88 / $1,378.00 / $2,062.09	Facility		$1,015.88	$1,378.00	$2,062.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,115.00 / $1,115.00 / $1,342.00	Professional		$1,115.00	$1,115.00	$1,342.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,362.10 / $2,698.60	Professional		$4.00	$1,362.10	$2,698.60
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 $872.76 / $1,250.89 / $2,773.82	Professional		$872.76	$1,250.89	$2,773.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,965.30 / $5,965.30	Facility		$55.00	$5,965.30	$5,965.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,447.06 / $8,447.06 / $8,955.08	Professional		$8,447.06	$8,447.06	$8,955.08