Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,061.75 / $7,439.00	Facility		$1,615.00	$2,061.75	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,061.75 / $2,061.75 / $3,263.04	Professional		$2,061.75	$2,061.75	$3,263.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,473.31 / $3,586.30 / $5,309.08	Professional		$2,473.31	$3,586.30	$5,309.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.33 / $3,268.31 / $5,358.44	Professional		$2,044.33	$3,268.31	$5,358.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,061.75 / $2,615.63 / $5,160.35	Facility		$2,061.75	$2,615.63	$5,160.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,615.63 / $2,615.63 / $5,241.53	Professional		$2,615.63	$2,615.63	$5,241.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,396.60 / $5,421.60	Professional		$6.00	$2,396.60	$5,421.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,032.82 / $2,863.11 / $6,619.79	Professional		$2,032.82	$2,863.11	$6,619.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,453.30 / $16,665.18	Facility		$55.00	$13,453.30	$16,665.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,085.76 / $15,085.76 / $17,546.70	Professional		$15,085.76	$15,085.76	$17,546.70