Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,533.42 / $7,439.00	Facility		$1,615.00	$2,533.42	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,533.42 / $2,665.17 / $5,072.27	Professional		$2,533.42	$2,665.17	$5,072.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,917.74 / $4,841.29 / $6,051.61	Professional		$2,917.74	$4,841.29	$6,051.61
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 $2,738.44 / $3,636.03 / $6,356.92	Professional		$2,738.44	$3,636.03	$6,356.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,533.42 / $3,129.29 / $5,042.25	Facility		$2,533.42	$3,129.29	$5,042.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,129.29 / $3,300.00 / $3,304.00	Professional		$3,129.29	$3,300.00	$3,304.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,284.23 / $3,756.19 / $4,501.42	Professional		$2,284.23	$3,756.19	$4,501.42
United Facility/Professional Facility Modifier Low / Median / High Price $806.00 / $3,994.00 / $6,543.00	Facility		$806.00	$3,994.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,184.14 / $3,238.35 / $6,268.09	Professional		$2,184.14	$3,238.35	$6,268.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $32,309.64 / $32,309.64	Facility		$5,000.00	$32,309.64	$32,309.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $18,267.18 / $18,267.18 / $23,516.40	Professional		$18,267.18	$18,267.18	$23,516.40