Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,535.43 / $1,748.07 / $7,439.00	Facility		$1,535.43	$1,748.07	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,535.43 / $1,535.43 / $2,629.84	Professional		$1,535.43	$1,535.43	$2,629.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,169.54 / $3,710.16 / $4,526.96	Professional		$2,169.54	$3,710.16	$4,526.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,974.27 / $2,674.87 / $4,463.04	Professional		$1,974.27	$2,674.87	$4,463.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,535.43 / $2,235.94 / $3,762.29	Facility		$1,535.43	$2,235.94	$3,762.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,235.94 / $2,235.94 / $2,235.94	Professional		$2,235.94	$2,235.94	$2,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,227.00 / $2,227.00 / $2,227.00	Professional		$2,227.00	$2,227.00	$2,227.00
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 $1,574.20 / $2,400.66 / $4,259.93	Professional		$1,574.20	$2,400.66	$4,259.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,046.72 / $27,603.04	Facility		$55.00	$23,046.72	$27,603.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,828.00 / $10,828.00 / $13,276.50	Professional		$10,828.00	$10,828.00	$13,276.50