Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,624.00 / $1,624.00 / $1,624.00	Facility		$1,624.00	$1,624.00	$1,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,349.95 / $1,624.00 / $1,725.50	Professional		$1,349.95	$1,624.00	$1,725.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,542.50 / $1,677.08 / $5,328.87	Facility		$1,542.50	$1,677.08	$5,328.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,624.00 / $2,030.00 / $2,943.50	Facility		$1,624.00	$2,030.00	$2,943.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,319.50 / $1,319.50 / $2,030.00	Professional		$1,319.50	$1,319.50	$2,030.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,233.00 / $3,105.90 / $3,887.45	Professional		$2,233.00	$3,105.90	$3,887.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $2,030.00	Facility		$2,030.00	$2,030.00	$2,030.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,015.00 / $1,218.00 / $2,639.00	Professional		$1,015.00	$1,218.00	$2,639.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,532.20 / $9,642.50 / $9,642.50	Facility		$3,532.20	$9,642.50	$9,642.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,109.40 / $10,109.40 / $15,225.00	Professional		$10,109.40	$10,109.40	$15,225.00