Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,822.11 / $7,439.00	Facility		$1,615.00	$1,822.11	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,681.75 / $1,703.80 / $2,688.61	Professional		$1,681.75	$1,703.80	$2,688.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,507.96 / $3,887.68 / $4,805.10	Professional		$2,507.96	$3,887.68	$4,805.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,053.42 / $2,830.50 / $4,697.54	Professional		$2,053.42	$2,830.50	$4,697.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,703.80 / $2,332.00 / $4,221.85	Facility		$1,703.80	$2,332.00	$4,221.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,327.92 / $2,327.92 / $2,327.92	Professional		$2,327.92	$2,327.92	$2,327.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,789.40 / $2,789.40 / $2,789.40	Professional		$2,789.40	$2,789.40	$2,789.40
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 $1,742.39 / $2,496.96 / $4,615.13	Professional		$1,742.39	$2,496.96	$4,615.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $41,757.30 / $50,278.28	Facility		$55.00	$41,757.30	$50,278.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $18,324.00 / $18,324.00 / $18,542.75	Professional		$18,324.00	$18,324.00	$18,542.75