Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $2,800.00 / $5,810.00	Facility		$2,800.00	$2,800.00	$5,810.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,793.73 / $2,800.00 / $2,800.00	Professional		$1,793.73	$2,800.00	$2,800.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,659.48 / $3,412.50 / $9,188.08	Facility		$2,659.48	$3,412.50	$9,188.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $3,500.00 / $5,250.00	Facility		$2,800.00	$3,500.00	$5,250.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,275.00 / $2,275.00 / $3,500.00	Professional		$2,275.00	$2,275.00	$3,500.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,850.00 / $5,355.00 / $6,702.50	Professional		$3,850.00	$5,355.00	$6,702.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $4,200.00	Facility		$4,200.00	$4,200.00	$4,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $2,100.00 / $3,500.00	Professional		$1,470.00	$2,100.00	$3,500.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,090.00 / $16,625.00 / $16,625.00	Facility		$6,090.00	$16,625.00	$16,625.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $17,430.00 / $17,430.00 / $26,250.00	Professional		$17,430.00	$17,430.00	$26,250.00