Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,847.27 / $6,953.60	Facility		$1,615.00	$1,847.27	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,760.18 / $1,875.69 / $3,390.80	Professional		$1,760.18	$1,875.69	$3,390.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,966.61 / $3,390.50 / $4,675.64	Professional		$1,966.61	$3,390.50	$4,675.64
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 $1,805.47 / $2,670.60 / $4,793.01	Professional		$1,805.47	$2,670.60	$4,793.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,748.94 / $2,216.71 / $3,339.55	Facility		$1,748.94	$2,216.71	$3,339.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,476.05 / $2,355.00 / $4,892.07	Professional		$1,476.05	$2,355.00	$4,892.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,273.20 / $1,517.40 / $3,979.70	Professional		$1,273.20	$1,517.40	$3,979.70
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 $1,582.17 / $2,139.67 / $4,604.72	Professional		$1,582.17	$2,139.67	$4,604.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,401.16 / $29,442.56	Facility		$55.00	$24,401.16	$29,442.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,171.76 / $13,171.76 / $16,123.58	Professional		$13,171.76	$13,171.76	$16,123.58