Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,120.00 / $2,120.00 / $2,120.00	Facility		$2,120.00	$2,120.00	$2,120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,762.25 / $2,120.00 / $2,252.50	Professional		$1,762.25	$2,120.00	$2,252.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,013.60 / $2,189.30 / $5,521.58	Facility		$2,013.60	$2,189.30	$5,521.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,120.00 / $2,650.00 / $3,153.50	Facility		$2,120.00	$2,650.00	$3,153.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,722.50 / $1,722.50 / $2,650.00	Professional		$1,722.50	$1,722.50	$2,650.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,915.00 / $4,054.50 / $5,074.75	Professional		$2,915.00	$4,054.50	$5,074.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,325.00 / $1,590.00 / $2,915.00	Professional		$1,325.00	$1,590.00	$2,915.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,611.00 / $12,587.50 / $12,587.50	Facility		$4,611.00	$12,587.50	$12,587.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,197.00 / $13,197.00 / $19,875.00	Professional		$13,197.00	$13,197.00	$19,875.00