Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.80 / $2,524.73 / $10,087.00	Facility		$1,397.80	$2,524.73	$10,087.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,397.80 / $1,397.80 / $2,094.73	Professional		$1,397.80	$1,397.80	$2,094.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,521.76 / $2,166.66 / $3,348.52	Professional		$1,521.76	$2,166.66	$3,348.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,386.49 / $2,042.57 / $3,478.04	Professional		$1,386.49	$2,042.57	$3,478.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,143.00 / $1,645.00 / $2,764.13	Facility		$1,143.00	$1,645.00	$2,764.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,484.83 / $1,484.83 / $3,504.10	Professional		$1,484.83	$1,484.83	$3,504.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,541.30 / $3,778.80	Professional		$5.00	$1,541.30	$3,778.80
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 $1,150.83 / $1,659.00 / $3,799.56	Professional		$1,150.83	$1,659.00	$3,799.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,786.32 / $16,547.20 / $26,542.00	Facility		$7,786.32	$16,547.20	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,116.40 / $10,116.40 / $11,963.48	Professional		$10,116.40	$10,116.40	$11,963.48