Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,824.00 / $3,824.00 / $7,934.80	Facility		$3,824.00	$3,824.00	$7,934.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,178.70 / $3,824.00 / $4,063.00	Professional		$3,178.70	$3,824.00	$4,063.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,632.08 / $3,949.00 / $12,549.10	Facility		$3,632.08	$3,949.00	$12,549.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,824.00 / $4,780.00 / $7,170.00	Facility		$3,824.00	$4,780.00	$7,170.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,107.00 / $3,107.00 / $4,780.00	Professional		$3,107.00	$3,107.00	$4,780.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $7,313.40 / $9,153.70	Professional		$4,780.00	$7,313.40	$9,153.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $4,780.00	Facility		$4,780.00	$4,780.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,390.00 / $2,868.00 / $4,923.39	Professional		$2,390.00	$2,868.00	$4,923.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,317.20 / $22,705.00 / $22,705.00	Facility		$8,317.20	$22,705.00	$22,705.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $23,900.00 / $23,900.00 / $35,850.00	Professional		$23,900.00	$23,900.00	$35,850.00