Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.10 / $1,615.00 / $7,439.00	Facility		$1,120.10	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.10 / $1,120.10 / $1,944.01	Professional		$1,120.10	$1,120.10	$1,944.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,660.61 / $2,251.71 / $3,146.00	Professional		$1,660.61	$2,251.71	$3,146.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,361.50 / $1,915.38 / $3,088.14	Professional		$1,361.50	$1,915.38	$3,088.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,120.10 / $1,647.00 / $2,784.12	Facility		$1,120.10	$1,647.00	$2,784.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,501.09 / $1,501.09 / $1,501.09	Professional		$1,501.09	$1,501.09	$1,501.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,233.60 / $2,233.60 / $2,233.60	Professional		$2,233.60	$2,233.60	$2,233.60
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 $1,130.45 / $1,608.71 / $3,087.84	Professional		$1,130.45	$1,608.71	$3,087.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $27,446.64 / $33,095.92	Facility		$55.00	$27,446.64	$33,095.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,932.00 / $11,932.00 / $11,932.00	Professional		$11,932.00	$11,932.00	$11,932.00