Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,242.42 / $1,690.38 / $10,561.00	Facility		$1,242.42	$1,690.38	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,242.42 / $1,242.42 / $2,144.10	Professional		$1,242.42	$1,242.42	$2,144.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.84 / $1,843.04 / $2,695.03	Professional		$1,121.84	$1,843.04	$2,695.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.46 / $1,743.26 / $3,238.14	Professional		$1,031.46	$1,743.26	$3,238.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,038.00 / $1,322.05 / $2,882.82	Facility		$1,038.00	$1,322.05	$2,882.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,154.68 / $1,154.68 / $1,154.68	Professional		$1,154.68	$1,154.68	$1,154.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,211.40 / $1,211.40 / $1,211.40	Professional		$1,211.40	$1,211.40	$1,211.40
United Facility/Professional Facility Modifier Low / Median / High Price $6,492.00 / $13,946.00 / $21,454.00	Facility		$6,492.00	$13,946.00	$21,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.83 / $1,433.56 / $3,541.34	Professional		$1,000.83	$1,433.56	$3,541.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $13,442.99 / $17,070.15 / $26,542.00	Facility		$13,442.99	$17,070.15	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,902.87 / $8,902.87 / $11,550.23	Professional		$8,902.87	$8,902.87	$11,550.23