Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.15 / $1,615.00 / $7,439.00	Facility		$1,226.15	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,226.15 / $1,226.15 / $2,593.50	Professional		$1,226.15	$1,226.15	$2,593.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,576.83 / $2,179.78 / $3,447.66	Professional		$1,576.83	$2,179.78	$3,447.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,368.43 / $1,941.48 / $3,653.62	Professional		$1,368.43	$1,941.48	$3,653.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,226.15 / $1,644.85 / $3,041.62	Facility		$1,226.15	$1,644.85	$3,041.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,644.85 / $1,644.85 / $1,644.85	Professional		$1,644.85	$1,644.85	$1,644.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,791.30 / $1,791.30 / $1,791.30	Professional		$1,791.30	$1,791.30	$1,791.30
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 $1,236.58 / $1,738.97 / $3,376.77	Professional		$1,236.58	$1,738.97	$3,376.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,427.84 / $22,296.96	Facility		$55.00	$18,427.84	$22,296.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,763.92 / $8,763.92 / $10,599.23	Professional		$8,763.92	$8,763.92	$10,599.23