Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,295.29 / $1,615.00 / $7,439.00	Facility		$1,295.29	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,295.29 / $1,295.29 / $2,251.26	Professional		$1,295.29	$1,295.29	$2,251.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,381.94 / $2,306.90 / $3,640.99	Professional		$1,381.94	$2,306.90	$3,640.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,583.24 / $2,242.08 / $3,575.09	Professional		$1,583.24	$2,242.08	$3,575.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,295.29 / $1,895.00 / $3,197.53	Facility		$1,295.29	$1,895.00	$3,197.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,794.24 / $1,794.24 / $1,794.24	Professional		$1,794.24	$1,794.24	$1,794.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,555.60 / $2,555.60 / $2,555.60	Professional		$2,555.60	$2,555.60	$2,555.60
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 $1,321.77 / $1,904.00 / $3,576.83	Professional		$1,321.77	$1,904.00	$3,576.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,540.32 / $23,560.32	Facility		$55.00	$19,540.32	$23,560.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,886.00 / $9,886.00 / $11,268.08	Professional		$9,886.00	$9,886.00	$11,268.08