Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,401.61 / $1,615.00 / $7,439.00	Facility		$1,401.61	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.61 / $1,401.61 / $2,429.33	Professional		$1,401.61	$1,401.61	$2,429.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,859.91 / $2,912.09 / $3,601.32	Professional		$1,859.91	$2,912.09	$3,601.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,714.01 / $2,401.83 / $3,990.51	Professional		$1,714.01	$2,401.83	$3,990.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,401.61 / $1,943.00 / $3,479.75	Facility		$1,401.61	$1,943.00	$3,479.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,911.92 / $1,911.92 / $3,701.33	Professional		$1,911.92	$1,911.92	$3,701.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $2,423.40 / $3,547.00	Professional		$17.00	$2,423.40	$3,547.00
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 $1,396.22 / $1,967.94 / $4,442.60	Professional		$1,396.22	$1,967.94	$4,442.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,820.84 / $28,720.62	Facility		$55.00	$23,820.84	$28,720.62
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,010.56 / $10,010.56 / $12,213.23	Professional		$10,010.56	$10,010.56	$12,213.23