Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.61 / $2,551.44 / $3,369.16	Facility		$1,229.61	$2,551.44	$3,369.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.12 / $1,229.61 / $1,306.47	Professional		$1,022.12	$1,229.61	$1,306.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.90 / $1,498.59 / $4,035.35	Facility		$1,167.90	$1,498.59	$4,035.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,229.61 / $1,537.02 / $2,305.53	Facility		$1,229.61	$1,537.02	$2,305.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $999.06 / $999.06 / $1,537.02	Professional		$999.06	$999.06	$1,537.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,690.72 / $2,351.64 / $2,943.39	Professional		$1,690.72	$2,351.64	$2,943.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,537.02 / $1,537.02 / $1,537.02	Facility		$1,537.02	$1,537.02	$1,537.02
United Facility/Professional Professional Modifier Low / Median / High Price $768.51 / $922.21 / $1,690.72	Professional		$768.51	$922.21	$1,690.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,674.41 / $7,300.85 / $7,300.85	Facility		$2,674.41	$7,300.85	$7,300.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,654.36 / $7,654.36 / $11,527.65	Professional		$7,654.36	$7,654.36	$11,527.65