Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,209.96 / $1,964.48 / $8,413.00	Facility		$1,209.96	$1,964.48	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.96 / $1,209.96 / $2,080.01	Professional		$1,209.96	$1,209.96	$2,080.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,608.10 / $2,724.17 / $3,574.45	Professional		$1,608.10	$2,724.17	$3,574.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,425.29 / $2,054.31 / $3,199.50	Professional		$1,425.29	$2,054.31	$3,199.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,209.96 / $1,591.93 / $3,034.25	Facility		$1,209.96	$1,591.93	$3,034.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,591.93 / $1,591.93 / $3,038.77	Professional		$1,591.93	$1,591.93	$3,038.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,070.00 / $3,110.80	Professional		$5.00	$2,070.00	$3,110.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.35 / $1,675.83 / $3,888.42	Professional		$1,202.35	$1,675.83	$3,888.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $6,769.14 / $11,644.00	Facility		$5,897.00	$6,769.14	$11,644.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,851.44 / $8,851.44 / $10,251.83	Professional		$8,851.44	$8,851.44	$10,251.83