Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,416.39 / $1,416.39 / $1,416.39	Facility		$1,416.39	$1,416.39	$1,416.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,177.36 / $1,416.39 / $1,504.91	Professional		$1,177.36	$1,416.39	$1,504.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,345.30 / $1,462.68 / $3,688.47	Facility		$1,345.30	$1,462.68	$3,688.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,416.39 / $1,770.48 / $2,106.87	Facility		$1,416.39	$1,770.48	$2,106.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,150.81 / $1,150.81 / $1,770.48	Professional		$1,150.81	$1,150.81	$1,770.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,947.53 / $2,708.83 / $3,390.47	Professional		$1,947.53	$2,708.83	$3,390.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,062.29 / $2,089.17 / $2,124.58	Facility		$1,062.29	$2,089.17	$2,124.58
United Facility/Professional Professional Modifier Low / Median / High Price $885.24 / $1,062.29 / $1,823.59	Professional		$885.24	$1,062.29	$1,823.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,080.64 / $8,409.78 / $8,409.78	Facility		$3,080.64	$8,409.78	$8,409.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,816.99 / $8,816.99 / $13,278.60	Professional		$8,816.99	$8,816.99	$13,278.60