Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,233.60 / $2,416.44 / $10,561.00	Facility		$1,233.60	$2,416.44	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,233.60 / $1,233.60 / $2,296.96	Professional		$1,233.60	$1,233.60	$2,296.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,437.16 / $2,149.27 / $3,403.62	Professional		$1,437.16	$2,149.27	$3,403.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,281.01 / $2,017.97 / $3,589.30	Professional		$1,281.01	$2,017.97	$3,589.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,215.00 / $1,660.11 / $3,084.21	Facility		$1,215.00	$1,660.11	$3,084.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,660.11 / $1,660.11 / $3,008.32	Professional		$1,660.11	$1,660.11	$3,008.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,680.00 / $3,555.50	Professional		$5.00	$1,680.00	$3,555.50
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 $1,188.51 / $1,641.17 / $3,469.84	Professional		$1,188.51	$1,641.17	$3,469.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,855.84 / $21,548.35 / $26,542.00	Facility		$6,855.84	$21,548.35	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,972.48 / $8,972.48 / $10,449.45	Professional		$8,972.48	$8,972.48	$10,449.45