Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,236.57 / $4,555.51 / $8,413.00	Facility		$1,236.57	$4,555.51	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,236.57 / $1,293.28 / $2,300.16	Professional		$1,236.57	$1,293.28	$2,300.16
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 $1,450.46 / $2,518.48 / $3,387.83	Professional		$1,450.46	$2,518.48	$3,387.83
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 $1,351.17 / $1,788.19 / $3,201.75	Professional		$1,351.17	$1,788.19	$3,201.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,236.57 / $1,569.13 / $2,522.01	Facility		$1,236.57	$1,569.13	$2,522.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $1,607.00 / $1,622.00	Professional		$579.00	$1,607.00	$1,622.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,640.10 / $3,487.40	Professional		$4.00	$1,640.10	$3,487.40
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 $1,079.58 / $1,634.32 / $3,091.61	Professional		$1,079.58	$1,634.32	$3,091.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,894.65 / $17,524.30 / $26,542.00	Facility		$5,894.65	$17,524.30	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,082.56 / $9,082.56 / $10,833.83	Professional		$9,082.56	$9,082.56	$10,833.83