Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,478.21 / $1,685.38 / $7,439.00	Facility		$1,478.21	$1,685.38	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,478.21 / $1,478.21 / $2,563.30	Professional		$1,478.21	$1,478.21	$2,563.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,028.40 / $2,703.35 / $4,174.72	Professional		$2,028.40	$2,703.35	$4,174.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,849.30 / $2,527.75 / $4,273.85	Professional		$1,849.30	$2,527.75	$4,273.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,394.77 / $2,141.27 / $3,625.19	Facility		$1,394.77	$2,141.27	$3,625.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,141.27 / $2,141.27 / $2,141.27	Professional		$2,141.27	$2,141.27	$2,141.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,058.10 / $2,058.10 / $2,058.10	Professional		$2,058.10	$2,058.10	$2,058.10
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 $1,515.45 / $2,214.76 / $4,145.39	Professional		$1,515.45	$2,214.76	$4,145.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,189.60 / $26,584.48	Facility		$55.00	$22,189.60	$26,584.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,429.12 / $10,429.12 / $12,782.10	Professional		$10,429.12	$10,429.12	$12,782.10