Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.70 / $1,615.00 / $7,439.00	Facility		$1,513.70	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.70 / $1,513.70 / $2,647.08	Professional		$1,513.70	$1,513.70	$2,647.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,591.30 / $2,685.45 / $4,274.93	Professional		$1,591.30	$2,685.45	$4,274.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.21 / $2,465.88 / $4,161.72	Professional		$1,807.21	$2,465.88	$4,161.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,513.70 / $2,053.13 / $3,711.68	Facility		$1,513.70	$2,053.13	$3,711.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,053.13 / $2,053.13 / $2,053.13	Professional		$2,053.13	$2,053.13	$2,053.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,177.10 / $2,574.46 / $2,818.72	Professional		$2,177.10	$2,574.46	$2,818.72
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 $1,508.22 / $2,165.55 / $4,185.83	Professional		$1,508.22	$2,165.55	$4,185.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,634.08 / $27,329.92	Facility		$55.00	$22,634.08	$27,329.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,745.92 / $10,745.92 / $13,009.50	Professional		$10,745.92	$10,745.92	$13,009.50