Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,418.61 / $1,615.00 / $7,439.00	Facility		$1,418.61	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,418.61 / $1,418.61 / $2,470.02	Professional		$1,418.61	$1,418.61	$2,470.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,842.12 / $3,315.82 / $3,993.97	Professional		$1,842.12	$3,315.82	$3,993.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,669.93 / $2,300.71 / $3,907.25	Professional		$1,669.93	$2,300.71	$3,907.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,418.61 / $1,912.01 / $3,423.98	Facility		$1,418.61	$1,912.01	$3,423.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,912.01 / $1,912.01 / $1,912.01	Professional		$1,912.01	$1,912.01	$1,912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,578.60 / $1,703.56 / $1,875.10	Professional		$1,578.60	$1,703.56	$1,875.10
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 $1,434.95 / $2,039.49 / $3,993.15	Professional		$1,434.95	$2,039.49	$3,993.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,309.60 / $25,775.04	Facility		$55.00	$21,309.60	$25,775.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,131.36 / $10,131.36 / $12,255.68	Professional		$10,131.36	$10,131.36	$12,255.68