Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.81 / $2,697.91 / $7,439.00	Facility		$1,528.81	$2,697.91	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,528.81 / $1,528.81 / $2,924.31	Professional		$1,528.81	$1,528.81	$2,924.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,708.61 / $3,716.70 / $5,273.24	Professional		$2,708.61	$3,716.70	$5,273.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,092.61 / $2,990.07 / $4,733.33	Professional		$2,092.61	$2,990.07	$4,733.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,443.65 / $2,641.31 / $3,583.15	Facility		$1,443.65	$2,641.31	$3,583.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,641.31 / $2,641.31 / $2,641.31	Professional		$2,641.31	$2,641.31	$2,641.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,693.50 / $1,831.98 / $2,372.52	Professional		$1,693.50	$1,831.98	$2,372.52
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 $1,650.02 / $2,650.50 / $5,644.76	Professional		$1,650.02	$2,650.50	$5,644.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,839.20 / $27,543.68	Facility		$55.00	$22,839.20	$27,543.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,828.08 / $13,128.75 / $13,128.75	Professional		$10,828.08	$13,128.75	$13,128.75