Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,560.00 / $2,560.00 / $2,560.00	Facility		$2,560.00	$2,560.00	$2,560.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,128.00 / $2,560.00 / $2,720.00	Professional		$2,128.00	$2,560.00	$2,720.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,431.52 / $2,643.68 / $8,400.76	Facility		$2,431.52	$2,643.68	$8,400.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,560.00 / $3,200.00 / $4,640.00	Facility		$2,560.00	$3,200.00	$4,640.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,080.00 / $2,080.00 / $3,200.00	Professional		$2,080.00	$2,080.00	$3,200.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,520.00 / $4,896.00 / $6,128.00	Professional		$3,520.00	$4,896.00	$6,128.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,600.00 / $1,920.00 / $3,296.00	Professional		$1,600.00	$1,920.00	$3,296.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,568.00 / $15,200.00 / $15,200.00	Facility		$5,568.00	$15,200.00	$15,200.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,936.00 / $15,936.00 / $24,000.00	Professional		$15,936.00	$15,936.00	$24,000.00