Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.11 / $7,836.52 / $12,303.56	Facility		$1,057.11	$7,836.52	$12,303.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,057.11 / $1,057.11 / $2,283.38	Professional		$1,057.11	$1,057.11	$2,283.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,562.91 / $2,324.34 / $2,976.45	Professional		$1,562.91	$2,324.34	$2,976.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,023.00 / $24,040.00 / $31,898.00	Facility		$16,023.00	$24,040.00	$31,898.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.19 / $1,560.68 / $2,837.22	Professional		$1,120.19	$1,560.68	$2,837.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,057.11 / $1,334.95 / $2,414.05	Facility		$1,057.11	$1,334.95	$2,414.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,124.05 / $1,124.05 / $1,124.05	Professional		$1,124.05	$1,124.05	$1,124.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,464.90 / $1,464.90 / $1,464.90	Professional		$1,464.90	$1,464.90	$1,464.90
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $14,893.00 / $22,265.00	Facility		$6,688.00	$14,893.00	$22,265.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,053.50 / $1,312.27 / $2,949.23	Professional		$1,053.50	$1,312.27	$2,949.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $10,965.13 / $10,965.13 / $13,294.93	Facility		$10,965.13	$10,965.13	$13,294.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,019.65 / $9,019.65 / $9,179.10	Professional		$9,019.65	$9,019.65	$9,179.10