Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,574.75 / $13,695.00 / $14,528.00	Facility		$1,574.75	$13,695.00	$14,528.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,574.75 / $1,780.10 / $3,401.46	Professional		$1,574.75	$1,780.10	$3,401.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,889.78 / $3,217.48 / $4,163.47	Professional		$1,889.78	$3,217.48	$4,163.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,755.23 / $2,497.19 / $4,091.05	Professional		$1,755.23	$2,497.19	$4,091.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,574.75 / $1,989.92 / $3,914.70	Facility		$1,574.75	$1,989.92	$3,914.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,866.38 / $1,866.38 / $4,029.20	Professional		$1,866.38	$1,866.38	$4,029.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,127.69 / $4,165.30	Professional		$5.00	$2,127.69	$4,165.30
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 $1,494.22 / $2,123.52 / $4,572.32	Professional		$1,494.22	$2,123.52	$4,572.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,825.16 / $16,547.20 / $26,542.00	Facility		$8,825.16	$16,547.20	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,587.45 / $11,587.45 / $13,514.55	Professional		$11,587.45	$11,587.45	$13,514.55