Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,365.16 / $8,128.31	Facility		$1,202.26	$4,365.16	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $2,344.23	Professional		$1,023.29	$1,174.90	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $3,090.30	Professional		$1,230.27	$1,548.82	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,818.38	Professional		$1,096.48	$1,548.82	$2,818.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,630.27	Professional		$1,621.81	$1,621.81	$2,630.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $2,238.72	Facility		$1,122.02	$1,412.54	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,511.89	Professional		$1,548.82	$1,949.84	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,748.98 / $18,620.87	Facility		$4,786.30	$11,748.98	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,290.87	Professional		$954.99	$1,288.25	$2,290.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $22,387.21 / $22,387.21 / $28,840.32	Facility		$22,387.21	$22,387.21	$28,840.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $9,772.37	Professional		$8,317.64	$8,317.64	$9,772.37