Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $8,709.64	Facility		$1,513.56	$2,570.40	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $3,090.30	Professional		$1,412.54	$1,698.24	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $2,290.87 / $4,073.80	Professional		$891.25	$2,290.87	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $2,630.27	Facility		$489.78	$575.44	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,073.80	Professional		$1,513.56	$2,398.83	$4,073.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $3,090.30	Facility		$1,445.44	$1,862.09	$3,090.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $3,801.89	Professional		$2,137.96	$2,818.38	$3,801.89
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 $1,380.38 / $1,819.70 / $3,235.94	Professional		$1,380.38	$1,819.70	$3,235.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $22,387.21 / $22,387.21	Facility		$56.23	$22,387.21	$22,387.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $13,182.57	Professional		$10,715.19	$10,715.19	$13,182.57