Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,948.00 / $1,948.00 / $1,948.00	Facility		$1,948.00	$1,948.00	$1,948.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,619.28 / $1,948.00 / $2,069.75	Professional		$1,619.28	$1,948.00	$2,069.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.23 / $2,011.68 / $5,073.42	Facility		$1,850.23	$2,011.68	$5,073.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,948.00 / $2,435.00 / $2,897.65	Facility		$1,948.00	$2,435.00	$2,897.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,582.75 / $1,582.75 / $2,435.00	Professional		$1,582.75	$1,582.75	$2,435.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,678.50 / $3,725.55 / $4,663.02	Professional		$2,678.50	$3,725.55	$4,663.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,217.50 / $1,461.00 / $2,508.05	Professional		$1,217.50	$1,461.00	$2,508.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,236.89 / $11,566.25 / $11,566.25	Facility		$4,236.89	$11,566.25	$11,566.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,126.30 / $12,126.30 / $18,262.50	Professional		$12,126.30	$12,126.30	$18,262.50