Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,165.95 / $8,709.64	Facility		$1,288.25	$6,165.95	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $1,698.24	Professional		$977.24	$1,380.38	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $3,801.89	Professional		$1,819.70	$2,818.38	$3,801.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,454.71	Facility		$1,174.90	$1,445.44	$2,454.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,890.45 / $6,918.31	Facility		$1,174.90	$3,890.45	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $3,235.94	Professional		$1,380.38	$1,778.28	$3,235.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Facility		$10,715.19	$10,715.19	$10,715.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $12,589.25 / $12,589.25	Professional		$11,220.18	$12,589.25	$12,589.25