Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,090.30 / $8,709.64	Facility		$1,819.70	$3,090.30	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $4,677.35	Professional		$1,698.24	$2,089.30	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,388.44 / $4,897.79	Professional		$1,949.84	$3,388.44	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $3,162.28	Facility		$489.78	$575.44	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $4,677.35	Professional		$1,819.70	$2,630.27	$4,677.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $3,715.35	Facility		$1,778.28	$2,344.23	$3,715.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,467.37 / $4,677.35	Professional		$1,905.46	$3,467.37	$4,677.35
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 $1,584.89 / $2,041.74 / $3,715.35	Professional		$1,584.89	$2,041.74	$3,715.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $16,982.44 / $16,982.44	Facility		$56.23	$16,982.44	$16,982.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $15,488.17	Professional		$13,489.63	$13,489.63	$15,488.17