Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.74 / $1,615.00 / $7,439.00	Facility		$1,288.74	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.74 / $1,288.74 / $2,235.98	Professional		$1,288.74	$1,288.74	$2,235.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,416.36 / $2,354.29 / $3,633.15	Professional		$1,416.36	$2,354.29	$3,633.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,378.77 / $2,151.64 / $3,625.88	Professional		$1,378.77	$2,151.64	$3,625.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,288.74 / $1,907.49 / $3,029.10	Facility		$1,288.74	$1,907.49	$3,029.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,907.49 / $1,907.49 / $1,907.49	Professional		$1,907.49	$1,907.49	$1,907.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,700.30 / $1,700.30 / $1,700.30	Professional		$1,700.30	$1,700.30	$1,700.30
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 $1,320.02 / $1,944.26 / $3,572.09	Professional		$1,320.02	$1,944.26	$3,572.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,339.92 / $15,989.93	Facility		$55.00	$13,339.92	$15,989.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,420.00 / $11,420.00 / $11,420.00	Professional		$11,420.00	$11,420.00	$11,420.00