Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,161.21 / $7,439.00	Facility		$1,615.00	$2,161.21	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,123.12 / $2,123.12 / $3,709.16	Professional		$2,123.12	$2,123.12	$3,709.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,581.69 / $3,750.31 / $5,502.79	Professional		$2,581.69	$3,750.31	$5,502.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,426.42 / $3,534.20 / $5,926.08	Professional		$2,426.42	$3,534.20	$5,926.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,123.12 / $2,757.89 / $5,310.09	Facility		$2,123.12	$2,757.89	$5,310.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,757.89 / $2,757.89 / $5,562.16	Professional		$2,757.89	$2,757.89	$5,562.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $3,150.40 / $4,787.60	Professional		$5.00	$3,150.40	$4,787.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,078.96 / $3,009.93 / $5,902.28	Professional		$2,078.96	$3,009.93	$5,902.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $12,051.24 / $14,785.32	Facility		$5,897.00	$12,051.24	$14,785.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $24,606.41 / $24,606.41 / $24,606.41	Professional		$24,606.41	$24,606.41	$24,606.41