Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.82 / $1,615.00 / $7,439.00	Facility		$1,054.82	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,054.82 / $1,071.57 / $1,630.33	Professional		$1,054.82	$1,071.57	$1,630.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,537.28 / $1,939.03 / $2,964.05	Professional		$1,537.28	$1,939.03	$2,964.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,229.48 / $1,777.27 / $2,916.52	Professional		$1,229.48	$1,777.27	$2,916.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,002.88 / $1,499.00 / $2,612.00	Facility		$1,002.88	$1,499.00	$2,612.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,402.10 / $1,402.10 / $1,402.10	Professional		$1,402.10	$1,402.10	$1,402.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,720.90 / $1,720.90 / $1,720.90	Professional		$1,720.90	$1,720.90	$1,720.90
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 $1,056.42 / $1,495.04 / $2,901.42	Professional		$1,056.42	$1,495.04	$2,901.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $26,030.68 / $31,449.08	Facility		$55.00	$26,030.68	$31,449.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,375.00 / $9,375.00 / $10,431.70	Professional		$9,375.00	$9,375.00	$10,431.70