Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,489.92 / $1,615.00 / $7,439.00	Facility		$1,489.92	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,306.52 / $1,489.92 / $2,462.87	Professional		$1,306.52	$1,489.92	$2,462.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,953.67 / $2,688.67 / $4,190.96	Professional		$1,953.67	$2,688.67	$4,190.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,779.31 / $2,512.14 / $4,107.93	Professional		$1,779.31	$2,512.14	$4,107.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,489.92 / $2,092.00 / $3,674.81	Facility		$1,489.92	$2,092.00	$3,674.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,943.12 / $1,943.12 / $1,943.12	Professional		$1,943.12	$1,943.12	$1,943.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,752.50 / $2,752.50 / $2,752.50	Professional		$2,752.50	$2,752.50	$2,752.50
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 $1,494.66 / $2,126.98 / $4,153.01	Professional		$1,494.66	$2,126.98	$4,153.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $36,503.74 / $43,982.64	Facility		$55.00	$36,503.74	$43,982.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,063.00 / $14,063.00 / $14,063.00	Professional		$14,063.00	$14,063.00	$14,063.00