Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,265.83 / $1,931.25 / $21,285.00	Facility		$1,265.83	$1,931.25	$21,285.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,206.14 / $1,280.34 / $2,425.17	Professional		$1,206.14	$1,280.34	$2,425.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,378.31 / $2,340.69 / $3,190.35	Professional		$1,378.31	$2,340.69	$3,190.35
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 $1,264.43 / $1,833.82 / $3,410.57	Professional		$1,264.43	$1,833.82	$3,410.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,265.83 / $1,551.17 / $2,325.80	Facility		$1,265.83	$1,551.17	$2,325.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,335.00 / $1,615.00 / $3,340.10	Professional		$1,335.00	$1,615.00	$3,340.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,207.70 / $1,627.60 / $2,601.40	Professional		$1,207.70	$1,627.60	$2,601.40
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 $1,085.76 / $1,446.82 / $3,143.99	Professional		$1,085.76	$1,446.82	$3,143.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,395.80 / $17,385.24	Facility		$55.00	$14,395.80	$17,385.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,807.05 / $11,807.05 / $11,807.05	Professional		$11,807.05	$11,807.05	$11,807.05