Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.79 / $1,622.33 / $7,439.00	Facility		$1,520.79	$1,622.33	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,520.79 / $1,520.79 / $2,790.05	Professional		$1,520.79	$1,520.79	$2,790.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,981.98 / $3,485.29 / $4,292.82	Professional		$1,981.98	$3,485.29	$4,292.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,788.84 / $2,478.69 / $4,185.07	Professional		$1,788.84	$2,478.69	$4,185.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,520.79 / $2,048.03 / $3,667.80	Facility		$1,520.79	$2,048.03	$3,667.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,048.03 / $2,048.03 / $2,048.03	Professional		$2,048.03	$2,048.03	$2,048.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,690.27 / $1,824.92 / $1,991.20	Professional		$1,690.27	$1,824.92	$1,991.20
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 $1,481.54 / $2,158.69 / $4,199.18	Professional		$1,481.54	$2,158.69	$4,199.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,812.80 / $27,569.28	Facility		$55.00	$22,812.80	$27,569.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,838.16 / $10,838.16 / $13,116.53	Professional		$10,838.16	$10,838.16	$13,116.53