Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.39 / $1,615.00 / $10,561.00	Facility		$804.39	$1,615.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.26 / $823.86 / $1,408.46	Professional		$779.26	$823.86	$1,408.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,725.95 / $2,998.55 / $5,088.43	Facility		$2,725.95	$2,998.55	$5,088.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.90 / $1,456.54 / $2,308.08	Professional		$830.90	$1,456.54	$2,308.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,997.51 / $5,654.79	Facility		$515.00	$2,997.51	$5,654.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.08 / $1,253.08 / $2,117.21	Professional		$899.08	$1,253.08	$2,117.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $804.39 / $1,064.00 / $1,552.28	Facility		$804.39	$1,064.00	$1,552.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $756.00 / $2,016.98	Professional		$718.00	$756.00	$2,016.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $900.90 / $1,075.40 / $1,788.60	Professional		$900.90	$1,075.40	$1,788.60
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 $736.18 / $977.33 / $2,004.58	Professional		$736.18	$977.33	$2,004.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,525.38 / $16,547.20 / $26,542.00	Facility		$4,525.38	$16,547.20	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,007.28 / $7,007.28 / $7,007.28	Professional		$7,007.28	$7,007.28	$7,007.28