Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,345.80 / $2,107.21 / $12,615.00	Facility		$1,345.80	$2,107.21	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,345.80 / $1,424.36 / $2,698.39	Professional		$1,345.80	$1,424.36	$2,698.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,552.62 / $2,397.92 / $3,310.09	Professional		$1,552.62	$2,397.92	$3,310.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $13,652.00	Facility		$606.10	$606.10	$13,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,468.50 / $1,963.18 / $3,500.00	Professional		$1,468.50	$1,963.18	$3,500.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,345.80 / $1,702.01 / $2,964.00	Facility		$1,345.80	$1,702.01	$2,964.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,702.01 / $1,745.00 / $1,758.00	Professional		$1,702.01	$1,745.00	$1,758.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,790.90 / $2,062.66 / $2,257.85	Professional		$1,790.90	$2,062.66	$2,257.85
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.65 / $1,760.32 / $3,362.87	Professional		$1,185.65	$1,760.32	$3,362.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $14,277.34 / $17,193.66 / $30,000.00	Facility		$14,277.34	$17,193.66	$30,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,948.48 / $10,948.48 / $12,090.75	Professional		$10,948.48	$10,948.48	$12,090.75