Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.20 / $1,615.00 / $6,953.60	Facility		$1,348.20	$1,615.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,272.39 / $1,368.56 / $2,191.21	Professional		$1,272.39	$1,368.56	$2,191.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,448.93 / $2,246.26 / $3,406.14	Professional		$1,448.93	$2,246.26	$3,406.14
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 $1,345.56 / $1,957.83 / $3,496.50	Professional		$1,345.56	$1,957.83	$3,496.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,348.20 / $1,644.00 / $2,480.17	Facility		$1,348.20	$1,644.00	$2,480.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,417.85 / $1,660.00 / $3,561.68	Professional		$1,417.85	$1,660.00	$3,561.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.40 / $1,459.20 / $2,909.90	Professional		$1,224.40	$1,459.20	$2,909.90
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 $1,157.79 / $1,584.37 / $3,538.11	Professional		$1,157.79	$1,584.37	$3,538.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,183.76 / $12,304.40	Facility		$55.00	$10,183.76	$12,304.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,634.16 / $9,634.16 / $11,775.98	Professional		$9,634.16	$9,634.16	$11,775.98