Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.31 / $5,762.50 / $11,986.00	Facility		$1,108.31	$5,762.50	$11,986.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.17 / $732.63 / $1,223.57	Professional		$678.17	$732.63	$1,223.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,021.07 / $1,123.17 / $1,905.99	Facility		$1,021.07	$1,123.17	$1,905.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $808.03 / $1,463.39 / $1,825.34	Professional		$808.03	$1,463.39	$1,825.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $825.38 / $3,390.19 / $5,654.79	Facility		$825.38	$3,390.19	$5,654.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.35 / $1,094.83 / $1,855.05	Professional		$723.35	$1,094.83	$1,855.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $680.00 / $872.48 / $1,341.93	Facility		$680.00	$872.48	$1,341.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $817.00 / $860.00 / $1,107.11	Professional		$817.00	$860.00	$1,107.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $627.40 / $750.60 / $1,679.80	Professional		$627.40	$750.60	$1,679.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,461.00 / $2,050.00 / $15,712.00	Facility		$1,461.00	$2,050.00	$15,712.00
United Facility/Professional Professional Modifier Low / Median / High Price $639.69 / $889.23 / $1,916.43	Professional		$639.69	$889.23	$1,916.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,799.27 / $16,547.20 / $26,542.00	Facility		$4,799.27	$16,547.20	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,710.08 / $6,710.08 / $6,710.08	Professional		$6,710.08	$6,710.08	$6,710.08