Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,430.57 / $1,615.00 / $7,439.00	Facility		$1,430.57	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,430.57 / $1,430.57 / $2,447.07	Professional		$1,430.57	$1,430.57	$2,447.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,960.58 / $2,506.09 / $3,613.19	Professional		$1,960.58	$2,506.09	$3,613.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,582.37 / $2,416.26 / $3,952.52	Professional		$1,582.37	$2,416.26	$3,952.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,430.57 / $1,933.72 / $3,242.60	Facility		$1,430.57	$1,933.72	$3,242.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,933.72 / $1,933.72 / $3,774.85	Professional		$1,933.72	$1,933.72	$3,774.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,594.52 / $2,036.17 / $2,845.00	Professional		$1,594.52	$2,036.17	$2,845.00
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 $1,440.91 / $2,006.11 / $4,295.05	Professional		$1,440.91	$2,006.11	$4,295.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,679.20 / $26,177.60	Facility		$55.00	$21,679.20	$26,177.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,799.88 / $10,799.88 / $12,507.53	Professional		$10,799.88	$10,799.88	$12,507.53