Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,270.07 / $1,615.00 / $6,953.60	Facility		$1,270.07	$1,615.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.83 / $1,288.73 / $2,159.12	Professional		$1,218.83	$1,288.73	$2,159.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,421.89 / $2,205.96 / $3,237.03	Professional		$1,421.89	$2,205.96	$3,237.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $518.28 / $35,600.00	Facility		$0.71	$518.28	$35,600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,426.63 / $1,955.20 / $3,309.41	Professional		$1,426.63	$1,955.20	$3,309.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,270.07 / $1,677.00 / $2,397.91	Facility		$1,270.07	$1,677.00	$2,397.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,638.00 / $1,680.70 / $3,345.69	Professional		$1,638.00	$1,680.70	$3,345.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,542.10 / $1,839.80 / $2,800.30	Professional		$1,542.10	$1,839.80	$2,800.30
United Facility/Professional Facility Modifier Low / Median / High Price $301.00 / $661.00 / $4,877.00	Facility		$301.00	$661.00	$4,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,142.08 / $1,498.18 / $3,483.77	Professional		$1,142.08	$1,498.18	$3,483.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,270.24 / $23,291.36	Facility		$55.00	$19,270.24	$23,291.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,130.87 / $9,130.87 / $11,121.68	Professional		$9,130.87	$9,130.87	$11,121.68