Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.63 / $2,098.87 / $8,413.00	Facility		$1,301.63	$2,098.87	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.99 / $1,402.10 / $2,494.66	Professional		$1,340.99	$1,402.10	$2,494.66
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 $1,486.61 / $2,209.01 / $3,343.37	Professional		$1,486.61	$2,209.01	$3,343.37
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 $1,485.66 / $1,908.29 / $3,309.34	Professional		$1,485.66	$1,908.29	$3,309.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,340.99 / $1,727.54 / $2,706.64	Facility		$1,340.99	$1,727.54	$2,706.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $1,733.00 / $1,759.00	Professional		$579.00	$1,733.00	$1,759.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $1,778.40 / $4,028.00	Professional		$8.00	$1,778.40	$4,028.00
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 $1,192.19 / $1,747.14 / $3,354.90	Professional		$1,192.19	$1,747.14	$3,354.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $11,508.30 / $17,524.30 / $26,542.00	Facility		$11,508.30	$17,524.30	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,850.48 / $9,850.48 / $11,750.03	Professional		$9,850.48	$9,850.48	$11,750.03