Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.31 / $1,249.38 / $8,413.00	Facility		$798.31	$1,249.38	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.31 / $840.07 / $1,489.31	Professional		$798.31	$840.07	$1,489.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,787.52 / $2,787.52 / $2,828.19	Facility		$2,787.52	$2,787.52	$2,828.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $929.33 / $1,548.88 / $2,170.37	Professional		$929.33	$1,548.88	$2,170.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $5,302.65	Facility		$606.10	$606.10	$5,302.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.15 / $1,154.32 / $2,008.69	Professional		$867.15	$1,154.32	$2,008.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $798.31 / $993.94 / $1,600.57	Facility		$798.31	$993.94	$1,600.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $1,028.00 / $1,055.00	Professional		$579.00	$1,028.00	$1,055.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,070.20 / $2,147.19	Professional		$3.00	$1,070.20	$2,147.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $702.14 / $1,026.78 / $2,157.23	Professional		$702.14	$1,026.78	$2,157.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,060.44 / $17,524.30 / $26,542.00	Facility		$3,060.44	$17,524.30	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,904.96 / $5,904.96 / $7,037.33	Professional		$5,904.96	$5,904.96	$7,037.33