Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,577.46 / $1,833.80 / $7,439.00	Facility		$1,577.46	$1,833.80	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,577.46 / $1,577.46 / $2,734.97	Professional		$1,577.46	$1,577.46	$2,734.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,788.45 / $2,896.01 / $4,828.81	Professional		$1,788.45	$2,896.01	$4,828.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,973.26 / $2,764.97 / $4,578.43	Professional		$1,973.26	$2,764.97	$4,578.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,577.46 / $2,340.91 / $3,864.63	Facility		$1,577.46	$2,340.91	$3,864.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,340.91 / $2,340.91 / $2,340.91	Professional		$2,340.91	$2,340.91	$2,340.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,190.90 / $2,190.90 / $2,190.90	Professional		$2,190.90	$2,190.90	$2,190.90
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 $1,616.94 / $2,464.08 / $4,375.59	Professional		$1,616.94	$2,464.08	$4,375.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,677.92 / $28,357.28	Facility		$55.00	$23,677.92	$28,357.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,122.88 / $11,122.88 / $13,641.60	Professional		$11,122.88	$11,122.88	$13,641.60