Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,213.25 / $1,615.00 / $7,439.00	Facility		$1,213.25	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.25 / $1,269.93 / $2,435.73	Professional		$1,213.25	$1,269.93	$2,435.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,396.97 / $2,108.80 / $2,952.32	Professional		$1,396.97	$2,108.80	$2,952.32
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 $1,311.77 / $1,748.79 / $3,129.24	Professional		$1,311.77	$1,748.79	$3,129.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,213.25 / $1,560.64 / $2,449.19	Facility		$1,213.25	$1,560.64	$2,449.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,560.64 / $1,604.00 / $1,604.00	Professional		$1,560.64	$1,604.00	$1,604.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.30 / $1,752.22 / $2,184.34	Professional		$1,052.30	$1,752.22	$2,184.34
United Facility/Professional Facility Modifier Low / Median / High Price $8,153.00 / $21,463.00 / $29,047.00	Facility		$8,153.00	$21,463.00	$29,047.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.40 / $1,575.74 / $3,326.85	Professional		$1,054.40	$1,575.74	$3,326.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $19,842.20 / $19,842.20	Facility		$5,000.00	$19,842.20	$19,842.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,130.10 / $11,130.10 / $11,130.10	Professional		$11,130.10	$11,130.10	$11,130.10