Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.02 / $1,615.00 / $7,439.00	Facility		$1,409.02	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,409.02 / $1,409.02 / $2,468.82	Professional		$1,409.02	$1,409.02	$2,468.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,576.28 / $2,561.56 / $3,985.74	Professional		$1,576.28	$2,561.56	$3,985.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,756.58 / $2,409.42 / $3,947.57	Professional		$1,756.58	$2,409.42	$3,947.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,409.02 / $1,997.28 / $3,461.96	Facility		$1,409.02	$1,997.28	$3,461.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,997.28 / $1,997.28 / $1,997.28	Professional		$1,997.28	$1,997.28	$1,997.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,974.30 / $1,974.30 / $1,974.30	Professional		$1,974.30	$1,974.30	$1,974.30
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 $1,446.26 / $2,105.26 / $3,913.71	Professional		$1,446.26	$2,105.26	$3,913.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,060.80 / $25,290.40	Facility		$55.00	$21,060.80	$25,290.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,923.12 / $9,923.12 / $12,132.23	Professional		$9,923.12	$9,923.12	$12,132.23