Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,403.31 / $1,615.00 / $7,439.00	Facility		$1,403.31	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,403.31 / $1,403.31 / $2,443.94	Professional		$1,403.31	$1,403.31	$2,443.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,456.68 / $2,492.21 / $3,949.50	Professional		$1,456.68	$2,492.21	$3,949.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,558.24 / $2,207.36 / $3,862.28	Professional		$1,558.24	$2,207.36	$3,862.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,403.31 / $1,869.94 / $3,307.51	Facility		$1,403.31	$1,869.94	$3,307.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,869.94 / $1,869.94 / $1,869.94	Professional		$1,869.94	$1,869.94	$1,869.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,906.20 / $1,906.20 / $1,906.20	Professional		$1,906.20	$1,906.20	$1,906.20
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 $1,398.91 / $1,960.07 / $3,865.62	Professional		$1,398.91	$1,960.07	$3,865.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,060.00 / $25,466.24	Facility		$55.00	$21,060.00	$25,466.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,010.48 / $10,010.48 / $12,111.08	Professional		$10,010.48	$10,010.48	$12,111.08