Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,701.49 / $4,701.49 / $6,393.19	Facility		$4,701.49	$4,701.49	$6,393.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,701.49 / $4,701.49 / $4,701.49	Professional		$4,701.49	$4,701.49	$4,701.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,216.17 / $4,059.92 / $7,657.03	Facility		$2,216.17	$4,059.92	$7,657.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,333.28 / $2,916.60 / $4,374.89	Facility		$2,333.28	$2,916.60	$4,374.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,895.79 / $1,895.79 / $2,916.60	Professional		$1,895.79	$1,895.79	$2,916.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,916.60 / $4,462.39 / $5,585.29	Professional		$2,916.60	$4,462.39	$5,585.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,458.30 / $1,749.96 / $3,004.10	Professional		$1,458.30	$1,749.96	$3,004.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,074.88 / $13,853.85 / $13,853.85	Facility		$5,074.88	$13,853.85	$13,853.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,583.00 / $14,583.00 / $21,874.50	Professional		$14,583.00	$14,583.00	$21,874.50