Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.51 / $1,615.00 / $7,439.00	Facility		$1,105.51	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,105.51 / $1,105.51 / $1,911.63	Professional		$1,105.51	$1,105.51	$1,911.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,256.43 / $2,034.53 / $3,101.87	Professional		$1,256.43	$2,034.53	$3,101.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,434.46 / $1,922.74 / $3,216.46	Professional		$1,434.46	$1,922.74	$3,216.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,043.53 / $1,635.97 / $2,734.02	Facility		$1,043.53	$1,635.97	$2,734.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,635.97 / $1,635.97 / $1,635.97	Professional		$1,635.97	$1,635.97	$1,635.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,758.20 / $1,758.20 / $1,758.20	Professional		$1,758.20	$1,758.20	$1,758.20
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 $1,130.47 / $1,714.17 / $3,059.15	Professional		$1,130.47	$1,714.17	$3,059.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,423.28 / $13,697.20	Facility		$55.00	$11,423.28	$13,697.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,338.08 / $8,338.08 / $9,574.43	Professional		$8,338.08	$8,338.08	$9,574.43