Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $8,709.64	Facility		$1,288.25	$2,089.30	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $3,162.28	Professional		$1,230.27	$1,479.11	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $3,548.13	Professional		$1,584.89	$2,290.87	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $2,238.72	Facility		$489.78	$575.44	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $3,548.13	Professional		$1,318.26	$2,041.74	$3,548.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,630.27	Facility		$1,258.93	$1,584.89	$2,630.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $3,090.30	Professional		$1,548.82	$2,041.74	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,819.70 / $6,309.57	Facility		$309.03	$1,819.70	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,691.53	Professional		$1,174.90	$1,548.82	$2,691.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $19,054.61 / $19,054.61	Facility		$56.23	$19,054.61	$19,054.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $11,220.18	Professional		$9,332.54	$9,332.54	$11,220.18