Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $2,888.40 / $3,814.08	Facility		$1,392.00	$2,888.40	$3,814.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,157.09 / $1,392.00 / $1,479.00	Professional		$1,157.09	$1,392.00	$1,479.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.14 / $1,696.50 / $4,568.24	Facility		$1,322.14	$1,696.50	$4,568.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $1,740.00 / $2,610.00	Facility		$1,392.00	$1,740.00	$2,610.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,131.00 / $1,131.00 / $1,740.00	Professional		$1,131.00	$1,131.00	$1,740.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,740.00 / $2,662.20 / $3,332.10	Professional		$1,740.00	$2,662.20	$3,332.10
United Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $1,044.00 / $1,740.00	Professional		$870.00	$1,044.00	$1,740.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,027.60 / $8,265.00 / $8,265.00	Facility		$3,027.60	$8,265.00	$8,265.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,665.20 / $8,665.20 / $13,050.00	Professional		$8,665.20	$8,665.20	$13,050.00