Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,026.08 / $4,376.00 / $7,278.00	Facility		$1,026.08	$4,376.00	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,026.08 / $1,079.01 / $1,911.42	Professional		$1,026.08	$1,079.01	$1,911.42
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 $1,205.08 / $1,858.56 / $2,803.01	Professional		$1,205.08	$1,858.56	$2,803.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $7,875.22	Facility		$530.04	$530.04	$7,875.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.33 / $1,478.89 / $2,650.88	Professional		$1,109.33	$1,478.89	$2,650.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,026.08 / $1,298.82 / $2,071.19	Facility		$1,026.08	$1,298.82	$2,071.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $1,303.00 / $1,348.00	Professional		$507.00	$1,303.00	$1,348.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,364.70 / $2,886.60	Professional		$4.00	$1,364.70	$2,886.60
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 $899.78 / $1,327.37 / $2,500.90	Professional		$899.78	$1,327.37	$2,500.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,895.45 / $22,716.55 / $26,026.20	Facility		$4,895.45	$22,716.55	$26,026.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,550.08 / $7,550.08 / $8,998.50	Professional		$7,550.08	$7,550.08	$8,998.50