Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $8,709.64	Facility		$1,258.93	$1,819.70	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $3,162.28	Professional		$1,122.02	$1,412.54	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $3,162.28	Professional		$1,202.26	$1,548.82	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $2,187.76	Facility		$489.78	$575.44	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $2,951.21	Professional		$1,148.15	$1,659.59	$2,951.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,398.83	Facility		$1,148.15	$1,513.56	$2,398.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,137.96 / $2,570.40	Professional		$6.03	$2,137.96	$2,570.40
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 $1,000.00 / $1,348.96 / $2,398.83	Professional		$1,000.00	$1,348.96	$2,398.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $10,000.00 / $10,000.00	Facility		$56.23	$10,000.00	$10,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $10,964.78	Professional		$8,912.51	$8,912.51	$10,964.78