Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,332.25 / $2,221.66 / $8,413.00	Facility		$1,332.25	$2,221.66	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,337.92 / $1,400.11 / $2,686.61	Professional		$1,337.92	$1,400.11	$2,686.61
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 $1,570.80 / $2,388.89 / $3,672.53	Professional		$1,570.80	$2,388.89	$3,672.53
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 $1,461.15 / $1,923.70 / $3,404.93	Professional		$1,461.15	$1,923.70	$3,404.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,337.92 / $1,707.52 / $2,727.42	Facility		$1,337.92	$1,707.52	$2,727.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $1,842.00 / $1,842.00	Professional		$579.00	$1,842.00	$1,842.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,776.30 / $3,786.00	Professional		$4.00	$1,776.30	$3,786.00
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 $1,173.90 / $1,742.99 / $3,555.99	Professional		$1,173.90	$1,742.99	$3,555.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,383.95 / $17,524.30 / $26,542.00	Facility		$6,383.95	$17,524.30	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,776.75 / $10,776.75 / $11,733.60	Professional		$10,776.75	$10,776.75	$11,733.60