Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,940.00 / $5,923.99 / $8,055.60	Facility		$2,940.00	$5,923.99	$8,055.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,443.88 / $2,940.00 / $3,123.75	Professional		$2,443.88	$2,940.00	$3,123.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,792.45 / $3,036.10 / $9,648.02	Facility		$2,792.45	$3,036.10	$9,648.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,940.00 / $3,675.00 / $5,512.50	Facility		$2,940.00	$3,675.00	$5,512.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,388.75 / $2,388.75 / $3,675.00	Professional		$2,388.75	$2,388.75	$3,675.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $5,622.75 / $7,037.62	Professional		$3,675.00	$5,622.75	$7,037.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,205.00 / $4,336.50 / $4,410.00	Facility		$2,205.00	$4,336.50	$4,410.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,837.50 / $2,205.00 / $3,785.25	Professional		$1,837.50	$2,205.00	$3,785.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,394.50 / $17,456.25 / $17,456.25	Facility		$6,394.50	$17,456.25	$17,456.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $18,375.00 / $18,375.00 / $27,562.50	Professional		$18,375.00	$18,375.00	$27,562.50