Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.68 / $1,615.00 / $7,439.00	Facility		$1,147.68	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.68 / $1,147.68 / $1,990.14	Professional		$1,147.68	$1,147.68	$1,990.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,010.07 / $2,092.46 / $3,223.94	Professional		$1,010.07	$2,092.46	$3,223.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,363.34 / $1,951.11 / $3,173.88	Professional		$1,363.34	$1,951.11	$3,173.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,147.68 / $1,602.00 / $2,848.80	Facility		$1,147.68	$1,602.00	$2,848.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,552.87 / $1,552.87 / $1,552.87	Professional		$1,552.87	$1,552.87	$1,552.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,116.19 / $2,116.19 / $2,116.19	Professional		$2,116.19	$2,116.19	$2,116.19
United Facility/Professional Facility Modifier Low / Median / High Price $12,077.00 / $26,232.00 / $43,834.00	Facility		$12,077.00	$26,232.00	$43,834.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,168.10 / $1,655.14 / $3,161.01	Professional		$1,168.10	$1,655.14	$3,161.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,402.88 / $21,016.48	Facility		$55.00	$17,402.88	$21,016.48
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