Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,750.39 / $2,750.39 / $2,750.39	Facility		$2,750.39	$2,750.39	$2,750.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,286.26 / $2,750.39 / $2,922.29	Professional		$2,286.26	$2,750.39	$2,922.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,612.35 / $2,840.29 / $7,163.30	Facility		$2,612.35	$2,840.29	$7,163.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,750.39 / $3,437.98 / $4,091.20	Facility		$2,750.39	$3,437.98	$4,091.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,234.69 / $2,234.69 / $3,437.98	Professional		$2,234.69	$2,234.69	$3,437.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,781.78 / $5,260.11 / $6,583.73	Professional		$3,781.78	$5,260.11	$6,583.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,437.98 / $4,056.82 / $4,125.58	Facility		$3,437.98	$4,056.82	$4,125.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,547.09 / $2,062.79 / $3,437.98	Professional		$1,547.09	$2,062.79	$3,437.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,982.09 / $16,330.41 / $16,330.41	Facility		$5,982.09	$16,330.41	$16,330.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $17,121.14 / $17,121.14 / $25,784.85	Professional		$17,121.14	$17,121.14	$25,784.85