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 $1,387.15 / $1,610.99 / $4,607.39	Facility		$1,387.15	$1,610.99	$4,607.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,404.00 / $1,950.00 / $2,632.50	Facility		$1,404.00	$1,950.00	$2,632.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,140.75 / $1,140.75 / $1,950.00	Professional		$1,140.75	$1,140.75	$1,950.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,145.00 / $2,983.50 / $3,734.25	Professional		$2,145.00	$2,983.50	$3,734.25
United Facility/Professional Professional Modifier Low / Median / High Price $877.50 / $1,053.00 / $2,632.50	Professional		$877.50	$1,053.00	$2,632.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,393.00 / $9,262.50 / $9,262.50	Facility		$3,393.00	$9,262.50	$9,262.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,711.00 / $9,711.00 / $14,625.00	Professional		$9,711.00	$9,711.00	$14,625.00