Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,683.78 / $6,953.60	Facility		$1,615.00	$1,683.78	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,604.49 / $1,688.92 / $2,578.21	Professional		$1,604.49	$1,688.92	$2,578.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,840.11 / $3,097.80 / $4,260.51	Professional		$1,840.11	$3,097.80	$4,260.51
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 $1,746.05 / $2,471.94 / $4,362.62	Professional		$1,746.05	$2,471.94	$4,362.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,683.78 / $2,042.30 / $3,108.04	Facility		$1,683.78	$2,042.30	$3,108.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,724.98 / $2,154.00 / $4,457.00	Professional		$1,724.98	$2,154.00	$4,457.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.80 / $1,772.80 / $3,613.20	Professional		$1,489.80	$1,772.80	$3,613.20
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 $1,467.93 / $1,979.60 / $3,983.48	Professional		$1,467.93	$1,979.60	$3,983.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,738.64 / $15,364.64	Facility		$55.00	$12,738.64	$15,364.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,031.92 / $12,031.92 / $14,724.83	Professional		$12,031.92	$12,031.92	$14,724.83