Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,465.66 / $1,678.88 / $7,439.00	Facility		$1,465.66	$1,678.88	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,465.66 / $1,465.66 / $2,449.08	Professional		$1,465.66	$1,465.66	$2,449.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,508.28 / $2,726.54 / $4,165.20	Professional		$1,508.28	$2,726.54	$4,165.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,815.74 / $2,522.17 / $4,307.84	Professional		$1,815.74	$2,522.17	$4,307.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,465.66 / $2,074.34 / $3,595.22	Facility		$1,465.66	$2,074.34	$3,595.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,165.60 / $2,165.60 / $2,165.60	Professional		$2,165.60	$2,165.60	$2,165.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,587.90 / $1,587.90 / $1,587.90	Professional		$1,587.90	$1,587.90	$1,587.90
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 $1,530.75 / $2,302.44 / $5,719.35	Professional		$1,530.75	$2,302.44	$5,719.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,999.84 / $26,360.80	Facility		$55.00	$21,999.84	$26,360.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,342.24 / $10,342.24 / $12,671.48	Professional		$10,342.24	$10,342.24	$12,671.48