Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,365.16 / $10,715.19	Facility		$2,818.38	$4,365.16	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $6,918.31	Professional		$2,511.89	$3,162.28	$6,918.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $7,079.46	Professional		$2,818.38	$3,630.78	$7,079.46
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 $2,691.53 / $3,715.35 / $6,918.31	Professional		$2,691.53	$3,715.35	$6,918.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $5,370.32	Facility		$2,570.40	$3,388.44	$5,370.32
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 $2,630.27 / $4,365.16 / $6,606.93	Professional		$2,630.27	$4,365.16	$6,606.93
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 $2,344.23 / $3,019.95 / $5,623.41	Professional		$2,344.23	$3,019.95	$5,623.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $25,703.96 / $25,703.96	Facility		$56.23	$25,703.96	$25,703.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $24,547.09	Professional		$19,952.62	$19,952.62	$24,547.09