Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,237.43 / $1,615.00 / $7,439.00	Facility		$1,237.43	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.43 / $1,237.43 / $2,217.90	Professional		$1,237.43	$1,237.43	$2,217.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,719.06 / $2,257.23 / $3,499.52	Professional		$1,719.06	$2,257.23	$3,499.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,430.69 / $2,059.33 / $3,536.35	Professional		$1,430.69	$2,059.33	$3,536.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,237.43 / $1,825.14 / $2,921.04	Facility		$1,237.43	$1,825.14	$2,921.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,825.14 / $1,825.14 / $1,825.14	Professional		$1,825.14	$1,825.14	$1,825.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,779.00 / $1,779.00 / $1,779.00	Professional		$1,779.00	$1,779.00	$1,779.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,906.00 / $6,388.00	Facility		$1,064.00	$3,906.00	$6,388.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,268.21 / $1,856.01 / $3,431.89	Professional		$1,268.21	$1,856.01	$3,431.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,777.71 / $15,304.30	Facility		$55.00	$12,777.71	$15,304.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,151.00 / $10,151.00 / $10,708.50	Professional		$10,151.00	$10,151.00	$10,708.50