Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,586.88 / $1,803.94 / $7,439.00	Facility		$1,586.88	$1,803.94	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,586.88 / $1,586.88 / $2,638.93	Professional		$1,586.88	$1,586.88	$2,638.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,770.48 / $2,893.58 / $4,579.18	Professional		$1,770.48	$2,893.58	$4,579.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,912.84 / $2,726.07 / $4,807.21	Professional		$1,912.84	$2,726.07	$4,807.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,497.34 / $2,078.88 / $3,889.94	Facility		$1,497.34	$2,078.88	$3,889.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,334.96 / $2,334.96 / $2,334.96	Professional		$2,334.96	$2,334.96	$2,334.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,546.90 / $1,546.90 / $1,546.90	Professional		$1,546.90	$1,546.90	$1,546.90
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 $1,627.32 / $2,439.33 / $4,760.60	Professional		$1,627.32	$2,439.33	$4,760.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,820.80 / $28,532.48	Facility		$55.00	$23,820.80	$28,532.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,193.12 / $11,193.12 / $13,721.78	Professional		$11,193.12	$11,193.12	$13,721.78