Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.96 / $1,700.96 / $3,529.49	Facility		$1,700.96	$1,700.96	$3,529.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,413.92 / $1,700.96 / $2,338.82	Professional		$1,413.92	$1,700.96	$2,338.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,615.59 / $2,073.05 / $5,581.53	Facility		$1,615.59	$2,073.05	$5,581.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,700.96 / $2,126.19 / $3,189.30	Facility		$1,700.96	$2,126.19	$3,189.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,382.03 / $1,382.03 / $2,126.19	Professional		$1,382.03	$1,382.03	$2,126.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,253.09 / $3,253.09 / $3,589.03	Professional		$3,253.09	$3,253.09	$3,589.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.72 / $2,508.92 / $2,551.44	Facility		$1,275.72	$2,508.92	$2,551.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,063.09 / $1,275.72 / $2,189.98	Professional		$1,063.09	$1,275.72	$2,189.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,699.59 / $10,099.45 / $10,099.45	Facility		$3,699.59	$10,099.45	$10,099.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,588.48 / $10,588.48 / $15,946.50	Professional		$10,588.48	$10,588.48	$15,946.50