Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,715.35 / $8,912.51	Facility		$2,187.76	$3,715.35	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $5,623.41	Professional		$2,041.74	$2,511.89	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $5,754.40	Professional		$2,398.83	$3,019.95	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $35,481.34	Facility		$489.78	$575.44	$35,481.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $5,623.41	Professional		$2,187.76	$3,162.28	$5,623.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $4,466.84	Facility		$2,137.96	$2,818.38	$4,466.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,168.69 / $5,248.07	Professional		$2,187.76	$4,168.69	$5,248.07
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 $1,905.46 / $2,511.89 / $4,466.84	Professional		$1,905.46	$2,511.89	$4,466.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $39,810.72 / $39,810.72	Facility		$56.23	$39,810.72	$39,810.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $19,054.61	Professional		$15,488.17	$15,488.17	$19,054.61