Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $8,709.64	Facility		$2,238.72	$3,548.13	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $5,754.40	Professional		$2,041.74	$2,570.40	$5,754.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $5,754.40	Professional		$2,041.74	$2,884.03	$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 $1,949.84 / $3,019.95 / $5,495.41	Professional		$1,949.84	$3,019.95	$5,495.41
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 $2,089.30 / $2,754.23 / $4,365.16	Facility		$2,089.30	$2,754.23	$4,365.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,548.13 / $5,370.32	Professional		$1,778.28	$3,548.13	$5,370.32
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 $1,862.09 / $2,454.71 / $4,570.88	Professional		$1,862.09	$2,454.71	$4,570.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $20,417.38 / $20,417.38	Facility		$56.23	$20,417.38	$20,417.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $19,498.45	Professional		$17,378.01	$17,378.01	$19,498.45