Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,134.89 / $1,615.00 / $6,953.60	Facility		$1,134.89	$1,615.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,065.71 / $1,153.80 / $1,723.06	Professional		$1,065.71	$1,153.80	$1,723.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,142.08 / $1,834.68 / $2,867.30	Professional		$1,142.08	$1,834.68	$2,867.30
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 $1,068.33 / $1,619.33 / $2,940.24	Professional		$1,068.33	$1,619.33	$2,940.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $1,361.87 / $2,032.11	Facility		$1,111.00	$1,361.87	$2,032.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,165.63 / $1,440.00 / $2,996.37	Professional		$1,165.63	$1,440.00	$2,996.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,006.50 / $1,199.09 / $2,465.50	Professional		$1,006.50	$1,199.09	$2,465.50
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 $953.44 / $1,296.72 / $2,819.17	Professional		$953.44	$1,296.72	$2,819.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,580.95 / $10,381.28	Facility		$55.00	$8,580.95	$10,381.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,126.72 / $8,126.72 / $9,926.70	Professional		$8,126.72	$8,126.72	$9,926.70