Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $7,439.00 / $12,615.00	Facility		$1,410.00	$7,439.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,458.00 / $1,475.97 / $1,487.49	Professional		$1,458.00	$1,475.97	$1,487.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,844.96 / $2,988.84 / $4,054.05	Professional		$1,844.96	$2,988.84	$4,054.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,254.57 / $1,432.81 / $2,730.54	Facility		$1,254.57	$1,432.81	$2,730.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,432.81 / $1,432.81 / $1,432.81	Professional		$1,432.81	$1,432.81	$1,432.81
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 $1,521.15 / $2,196.67 / $4,144.51	Professional		$1,521.15	$2,196.67	$4,144.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $11,073.12 / $41,427.19 / $41,427.19	Facility		$11,073.12	$41,427.19	$41,427.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,649.36 / $12,758.33 / $12,758.33	Professional		$10,649.36	$12,758.33	$12,758.33