Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,639.96 / $2,639.96 / $3,822.74	Facility		$2,639.96	$2,639.96	$3,822.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.92 / $777.92 / $1,123.01	Professional		$777.92	$777.92	$1,123.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,325.14 / $1,700.36 / $4,578.03	Facility		$1,325.14	$1,700.36	$4,578.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,169.80 / $1,169.80 / $2,528.73	Facility		$1,169.80	$1,169.80	$2,528.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,133.57 / $1,133.57 / $1,169.80	Professional		$1,133.57	$1,133.57	$1,169.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,743.95 / $2,668.24 / $3,339.66	Professional		$1,743.95	$2,668.24	$3,339.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,092.73 / $2,092.73 / $2,092.73	Facility		$2,092.73	$2,092.73	$2,092.73
United Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $701.88 / $1,743.95	Professional		$584.90	$701.88	$1,743.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,034.47 / $8,283.76 / $8,283.76	Facility		$3,034.47	$8,283.76	$8,283.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,684.87 / $8,684.87 / $13,079.63	Professional		$8,684.87	$8,684.87	$13,079.63