Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.21 / $1,933.86 / $12,615.00	Facility		$1,324.21	$1,933.86	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,324.21 / $1,324.21 / $1,871.01	Professional		$1,324.21	$1,324.21	$1,871.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,481.87 / $2,381.05 / $3,243.61	Professional		$1,481.87	$2,381.05	$3,243.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,363.20 / $1,973.08 / $3,427.80	Professional		$1,363.20	$1,973.08	$3,427.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,070.00 / $1,456.63 / $2,617.37	Facility		$1,070.00	$1,456.63	$2,617.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,433.43 / $1,433.43 / $3,308.73	Professional		$1,433.43	$1,433.43	$3,308.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,314.10 / $3,590.70	Professional		$5.00	$1,314.10	$3,590.70
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 $1,087.14 / $1,570.91 / $3,569.83	Professional		$1,087.14	$1,570.91	$3,569.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,367.28 / $16,547.20 / $26,542.00	Facility		$7,367.28	$16,547.20	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,575.12 / $9,575.12 / $11,325.15	Professional		$9,575.12	$9,575.12	$11,325.15