Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $7,186.00 / $10,561.00	Facility		$1,615.00	$7,186.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,643.55 / $1,747.13 / $1,760.69	Professional		$1,643.55	$1,747.13	$1,760.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,445.98 / $3,660.24 / $4,798.84	Professional		$2,445.98	$3,660.24	$4,798.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,485.06 / $1,696.28 / $3,232.19	Facility		$1,485.06	$1,696.28	$3,232.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,696.28 / $1,696.28 / $1,696.28	Professional		$1,696.28	$1,696.28	$1,696.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,794.00 / $2,600.07 / $4,905.64	Professional		$1,794.00	$2,600.07	$4,905.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $28,658.24 / $40,399.35 / $40,399.35	Facility		$28,658.24	$40,399.35	$40,399.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $27,561.36 / $31,422.68 / $31,422.68	Professional		$27,561.36	$31,422.68	$31,422.68