Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,958.85 / $1,958.85 / $1,958.85	Facility		$1,958.85	$1,958.85	$1,958.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,628.29 / $1,958.85 / $2,081.28	Professional		$1,628.29	$1,958.85	$2,081.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,860.53 / $2,022.87 / $6,428.46	Facility		$1,860.53	$2,022.87	$6,428.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,958.85 / $2,448.56 / $3,550.41	Facility		$1,958.85	$2,448.56	$3,550.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,591.56 / $1,591.56 / $2,448.56	Professional		$1,591.56	$1,591.56	$2,448.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,693.42 / $3,746.30 / $4,688.99	Professional		$2,693.42	$3,746.30	$4,688.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.28 / $1,469.14 / $2,522.02	Professional		$1,224.28	$1,469.14	$2,522.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,260.49 / $11,630.66 / $11,630.66	Facility		$4,260.49	$11,630.66	$11,630.66
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,193.83 / $12,193.83 / $18,364.20	Professional		$12,193.83	$12,193.83	$18,364.20