Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.09 / $2,675.00 / $10,768.00	Facility		$1,028.09	$2,675.00	$10,768.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.09 / $1,082.06 / $2,070.92	Professional		$1,028.09	$1,082.06	$2,070.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,684.54 / $3,684.54 / $5,264.75	Facility		$3,684.54	$3,684.54	$5,264.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,204.78 / $1,935.53 / $2,507.10	Professional		$1,204.78	$1,935.53	$2,507.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $6,025.59	Facility		$606.10	$606.10	$6,025.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.92 / $1,503.37 / $2,641.14	Professional		$1,164.92	$1,503.37	$2,641.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,028.09 / $1,397.91 / $1,941.17	Facility		$1,028.09	$1,397.91	$1,941.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,281.81 / $1,293.00 / $1,363.00	Professional		$1,281.81	$1,293.00	$1,363.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,385.30 / $2,781.30	Professional		$4.00	$1,385.30	$2,781.30
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 $908.52 / $1,319.16 / $2,828.59	Professional		$908.52	$1,319.16	$2,828.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,941.00 / $19,913.50 / $33,500.00	Facility		$4,941.00	$19,913.50	$33,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,738.00 / $7,738.00 / $9,094.28	Professional		$7,738.00	$7,738.00	$9,094.28