Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.17 / $1,615.00 / $7,439.00	Facility		$1,514.17	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,514.17 / $1,514.17 / $2,649.73	Professional		$1,514.17	$1,514.17	$2,649.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,962.08 / $2,816.86 / $4,285.66	Professional		$1,962.08	$2,816.86	$4,285.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,568.22 / $2,431.01 / $4,167.05	Professional		$1,568.22	$2,431.01	$4,167.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,514.17 / $2,088.11 / $3,564.54	Facility		$1,514.17	$2,088.11	$3,564.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,088.11 / $2,088.11 / $2,088.11	Professional		$2,088.11	$2,088.11	$2,088.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,833.90 / $1,833.90 / $1,833.90	Professional		$1,833.90	$1,833.90	$1,833.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,906.00 / $6,388.00	Facility		$1,064.00	$3,906.00	$6,388.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,531.57 / $2,142.76 / $4,185.97	Professional		$1,531.57	$2,142.76	$4,185.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,703.36 / $27,425.60	Facility		$55.00	$22,703.36	$27,425.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,632.99 / $12,632.99 / $13,052.33	Professional		$12,632.99	$12,632.99	$13,052.33