Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.00 / $1,404.00 / $1,404.00	Facility		$1,404.00	$1,404.00	$1,404.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.08 / $1,404.00 / $1,491.75	Professional		$1,167.08	$1,404.00	$1,491.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,333.54 / $1,449.89 / $3,656.79	Facility		$1,333.54	$1,449.89	$3,656.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,404.00 / $1,755.00 / $2,088.44	Facility		$1,404.00	$1,755.00	$2,088.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,140.75 / $1,140.75 / $1,755.00	Professional		$1,140.75	$1,140.75	$1,755.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,930.50 / $2,685.15 / $3,360.82	Professional		$1,930.50	$2,685.15	$3,360.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,053.00 / $2,070.90 / $2,106.00	Facility		$1,053.00	$2,070.90	$2,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $877.50 / $1,053.00 / $1,807.65	Professional		$877.50	$1,053.00	$1,807.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,053.70 / $8,336.25 / $8,336.25	Facility		$3,053.70	$8,336.25	$8,336.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,739.90 / $8,739.90 / $13,162.50	Professional		$8,739.90	$8,739.90	$13,162.50