Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.46 / $1,535.60 / $7,439.00	Facility		$987.46	$1,535.60	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.46 / $1,036.40 / $1,986.29	Professional		$987.46	$1,036.40	$1,986.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.51 / $1,597.03 / $2,698.15	Professional		$1,157.51	$1,597.03	$2,698.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $5,302.65	Facility		$530.04	$530.04	$5,302.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,073.38 / $1,416.12 / $2,499.62	Professional		$1,073.38	$1,416.12	$2,499.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $987.46 / $1,249.23 / $2,004.98	Facility		$987.46	$1,249.23	$2,004.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $1,264.00 / $1,296.00	Professional		$507.00	$1,264.00	$1,296.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,313.10 / $2,693.20	Professional		$3.00	$1,313.10	$2,693.20
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 $863.26 / $1,289.36 / $2,666.57	Professional		$863.26	$1,289.36	$2,666.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,775.12 / $16,394.00 / $17,524.30	Facility		$3,775.12	$16,394.00	$17,524.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,240.32 / $7,240.32 / $8,696.54	Professional		$7,240.32	$7,240.32	$8,696.54