Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,263.17 / $2,039.13 / $8,413.00	Facility		$1,263.17	$2,039.13	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.74 / $1,353.02 / $2,407.32	Professional		$1,294.74	$1,353.02	$2,407.32
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 $1,492.32 / $2,587.53 / $3,547.30	Professional		$1,492.32	$2,587.53	$3,547.30
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 $1,368.58 / $1,841.17 / $3,361.07	Professional		$1,368.58	$1,841.17	$3,361.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,294.74 / $1,628.97 / $2,566.96	Facility		$1,294.74	$1,628.97	$2,566.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $1,678.00 / $1,695.00	Professional		$579.00	$1,678.00	$1,695.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,713.90 / $3,640.20	Professional		$3.00	$1,713.90	$3,640.20
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 $1,117.84 / $1,609.46 / $3,437.88	Professional		$1,117.84	$1,609.46	$3,437.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,930.12 / $17,524.30 / $26,542.00	Facility		$4,930.12	$17,524.30	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,496.56 / $9,496.56 / $11,323.88	Professional		$9,496.56	$9,496.56	$11,323.88