Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,517.60 / $1,517.60 / $3,149.02	Facility		$1,517.60	$1,517.60	$3,149.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,261.51 / $1,517.60 / $1,517.60	Professional		$1,261.51	$1,517.60	$1,517.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,441.44 / $2,640.78 / $4,980.14	Facility		$1,441.44	$2,640.78	$4,980.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,517.60 / $1,897.00 / $2,845.50	Facility		$1,517.60	$1,897.00	$2,845.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,233.05 / $1,233.05 / $1,897.00	Professional		$1,233.05	$1,233.05	$1,897.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,897.00 / $2,902.41 / $3,632.76	Professional		$1,897.00	$2,902.41	$3,632.76
United Facility/Professional Professional Modifier Low / Median / High Price $948.50 / $1,138.20 / $1,897.00	Professional		$948.50	$1,138.20	$1,897.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,300.78 / $9,010.75 / $9,010.75	Facility		$3,300.78	$9,010.75	$9,010.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,447.06 / $9,447.06 / $14,227.50	Professional		$9,447.06	$9,447.06	$14,227.50