Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.57 / $1,615.00 / $7,439.00	Facility		$1,202.57	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.57 / $1,202.57 / $2,017.89	Professional		$1,202.57	$1,202.57	$2,017.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,138.78 / $1,950.80 / $2,973.09	Professional		$1,138.78	$1,950.80	$2,973.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.93 / $1,834.90 / $3,346.14	Professional		$1,182.93	$1,834.90	$3,346.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,110.31 / $1,426.77 / $2,284.78	Facility		$1,110.31	$1,426.77	$2,284.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,426.77 / $1,426.77 / $3,130.03	Professional		$1,426.77	$1,426.77	$3,130.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,427.30 / $1,890.42 / $2,322.50	Professional		$1,427.30	$1,890.42	$2,322.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,038.43 / $1,505.60 / $3,172.37	Professional		$1,038.43	$1,505.60	$3,172.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $15,983.10 / $19,388.59	Facility		$5,897.00	$15,983.10	$19,388.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,672.40 / $10,569.98 / $10,569.98	Professional		$8,672.40	$10,569.98	$10,569.98