Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.92 / $1,615.00 / $7,439.00	Facility		$1,290.92	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,290.92 / $1,290.92 / $2,759.89	Professional		$1,290.92	$1,290.92	$2,759.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,813.07 / $2,369.94 / $3,630.91	Professional		$1,813.07	$2,369.94	$3,630.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,572.45 / $2,232.92 / $3,729.73	Professional		$1,572.45	$2,232.92	$3,729.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,290.92 / $1,900.35 / $3,165.27	Facility		$1,290.92	$1,900.35	$3,165.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,900.35 / $1,900.35 / $1,900.35	Professional		$1,900.35	$1,900.35	$1,900.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,511.40 / $1,511.40 / $1,511.40	Professional		$1,511.40	$1,511.40	$1,511.40
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 $1,322.87 / $2,007.33 / $3,577.67	Professional		$1,322.87	$2,007.33	$3,577.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,387.68 / $23,228.80	Facility		$55.00	$19,387.68	$23,228.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,110.95 / $9,110.95 / $11,170.80	Professional		$9,110.95	$9,110.95	$11,170.80