Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.44 / $1,615.00 / $7,439.00	Facility		$1,499.44	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,499.44 / $1,499.44 / $3,153.25	Professional		$1,499.44	$1,499.44	$3,153.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,990.88 / $3,550.74 / $4,236.46	Professional		$1,990.88	$3,550.74	$4,236.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,815.67 / $2,536.90 / $4,118.39	Professional		$1,815.67	$2,536.90	$4,118.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,499.44 / $2,099.21 / $3,741.48	Facility		$1,499.44	$2,099.21	$3,741.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,050.87 / $2,050.87 / $2,050.87	Professional		$2,050.87	$2,050.87	$2,050.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,303.69 / $2,303.69 / $2,303.69	Professional		$2,303.69	$2,303.69	$2,303.69
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 $1,499.91 / $2,204.19 / $5,858.03	Professional		$1,499.91	$2,204.19	$5,858.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,592.64 / $27,330.24	Facility		$55.00	$22,592.64	$27,330.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,752.72 / $10,752.72 / $12,977.40	Professional		$10,752.72	$10,752.72	$12,977.40