Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.00 / $2,188.94 / $8,413.00	Facility		$1,338.00	$2,188.94	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,394.75 / $1,457.36 / $2,593.29	Professional		$1,394.75	$1,457.36	$2,593.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,628.44 / $2,249.90 / $3,826.15	Professional		$1,628.44	$2,249.90	$3,826.15
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 $1,485.16 / $2,036.77 / $3,628.84	Professional		$1,485.16	$2,036.77	$3,628.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,394.75 / $1,857.06 / $2,879.95	Facility		$1,394.75	$1,857.06	$2,879.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $1,799.00 / $1,876.24	Professional		$579.00	$1,799.00	$1,876.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,848.80 / $4,247.70	Professional		$3.00	$1,848.80	$4,247.70
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 $1,240.41 / $1,782.13 / $3,703.47	Professional		$1,240.41	$1,782.13	$3,703.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,318.08 / $17,524.30 / $26,542.00	Facility		$5,318.08	$17,524.30	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,055.60 / $11,055.60 / $12,216.83	Professional		$11,055.60	$11,055.60	$12,216.83