Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,357.38 / $1,615.00 / $7,439.00	Facility		$1,357.38	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,357.38 / $1,357.38 / $2,277.77	Professional		$1,357.38	$1,357.38	$2,277.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,541.76 / $2,507.94 / $3,833.11	Professional		$1,541.76	$2,507.94	$3,833.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,664.41 / $2,326.71 / $3,946.92	Professional		$1,664.41	$2,326.71	$3,946.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,357.38 / $1,971.52 / $3,328.42	Facility		$1,357.38	$1,971.52	$3,328.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,971.52 / $1,971.52 / $1,971.52	Professional		$1,971.52	$1,971.52	$1,971.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,419.60 / $1,419.60 / $1,419.60	Professional		$1,419.60	$1,419.60	$1,419.60
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 $1,390.69 / $2,078.09 / $3,763.33	Professional		$1,390.69	$2,078.09	$3,763.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,469.69 / $13,742.82	Facility		$55.00	$11,469.69	$13,742.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,583.52 / $9,583.52 / $11,747.63	Professional		$9,583.52	$9,583.52	$11,747.63