Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,328.96 / $2,477.60 / $10,924.00	Facility		$1,328.96	$2,477.60	$10,924.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,328.96 / $1,328.96 / $2,432.65	Professional		$1,328.96	$1,328.96	$2,432.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,961.82 / $2,792.06 / $4,431.75	Professional		$1,961.82	$2,792.06	$4,431.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,815.99 / $2,564.90 / $4,115.10	Professional		$1,815.99	$2,564.90	$4,115.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,254.73 / $2,145.73 / $2,958.19	Facility		$1,254.73	$2,145.73	$2,958.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,145.73 / $2,145.73 / $2,145.73	Professional		$2,145.73	$2,145.73	$2,145.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,472.04 / $1,591.94 / $2,060.66	Professional		$1,472.04	$1,591.94	$2,060.66
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 $1,433.84 / $2,325.21 / $3,729.21	Professional		$1,433.84	$2,325.21	$3,729.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,832.32 / $23,908.48	Facility		$55.00	$19,832.32	$23,908.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,403.12 / $11,393.10 / $11,393.10	Professional		$9,403.12	$11,393.10	$11,393.10