Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,630.78 / $8,709.64	Facility		$2,290.87	$3,630.78	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $5,888.44	Professional		$2,041.74	$2,570.40	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $5,754.40	Professional		$2,290.87	$3,311.31	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $3,890.45	Facility		$489.78	$575.44	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $5,495.41	Professional		$1,862.09	$3,090.30	$5,495.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
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 $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $4,265.80 / $5,370.32	Professional		$1,380.38	$4,265.80	$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 $1,905.46 / $2,454.71 / $4,570.88	Professional		$1,905.46	$2,454.71	$4,570.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $20,892.96 / $20,892.96	Facility		$56.23	$20,892.96	$20,892.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $19,952.62	Professional		$16,218.10	$16,218.10	$19,952.62