Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.99 / $1,615.00 / $7,439.00	Facility		$1,195.99	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.99 / $1,195.99 / $2,076.44	Professional		$1,195.99	$1,195.99	$2,076.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,491.00 / $2,149.53 / $3,426.64	Professional		$1,491.00	$2,149.53	$3,426.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.46 / $1,970.24 / $3,303.57	Professional		$1,272.46	$1,970.24	$3,303.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,173.00 / $1,604.47 / $2,957.72	Facility		$1,173.00	$1,604.47	$2,957.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,604.47 / $1,604.47 / $3,163.40	Professional		$1,604.47	$1,604.47	$3,163.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,772.40 / $3,030.00	Professional		$15.00	$1,772.40	$3,030.00
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 $1,173.58 / $1,628.77 / $3,376.22	Professional		$1,173.58	$1,628.77	$3,376.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,095.20 / $21,827.52	Facility		$55.00	$18,095.20	$21,827.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,559.04 / $8,559.04 / $10,437.83	Professional		$8,559.04	$8,559.04	$10,437.83