Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $2,022.23 / $7,362.00	Facility		$1,245.00	$2,022.23	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,269.78 / $1,326.50 / $2,360.75	Professional		$1,269.78	$1,326.50	$2,360.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,192.67 / $1,963.93 / $3,473.98	Professional		$1,192.67	$1,963.93	$3,473.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $5,302.65	Facility		$395.75	$395.75	$5,302.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,394.75 / $1,820.33 / $3,201.12	Professional		$1,394.75	$1,820.33	$3,201.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,269.78 / $1,533.00 / $2,655.71	Facility		$1,269.78	$1,533.00	$2,655.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $1,662.00 / $1,663.00	Professional		$378.00	$1,662.00	$1,663.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,681.30 / $2,927.20	Professional		$4.00	$1,681.30	$2,927.20
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 $1,093.77 / $1,672.43 / $3,371.37	Professional		$1,093.77	$1,672.43	$3,371.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,045.90 / $15,295.84 / $17,524.30	Facility		$6,045.90	$15,295.84	$17,524.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,045.50 / $10,045.50 / $11,109.38	Professional		$10,045.50	$10,045.50	$11,109.38