Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,395.26 / $1,615.00 / $7,439.00	Facility		$1,395.26	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,395.26 / $1,395.26 / $2,319.61	Professional		$1,395.26	$1,395.26	$2,319.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,588.14 / $2,571.66 / $4,074.22	Professional		$1,588.14	$2,571.66	$4,074.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,713.38 / $2,443.94 / $4,229.02	Professional		$1,713.38	$2,443.94	$4,229.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,395.26 / $1,953.36 / $3,420.57	Facility		$1,395.26	$1,953.36	$3,420.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,028.52 / $2,028.52 / $2,028.52	Professional		$2,028.52	$2,028.52	$2,028.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.80 / $1,276.80 / $1,276.80	Professional		$1,276.80	$1,276.80	$1,276.80
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 $1,447.30 / $2,179.55 / $3,867.57	Professional		$1,447.30	$2,179.55	$3,867.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,942.72 / $25,091.20	Facility		$55.00	$20,942.72	$25,091.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,843.04 / $9,843.04 / $12,064.35	Professional		$9,843.04	$9,843.04	$12,064.35