Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,371.45 / $1,615.00 / $7,439.00	Facility		$1,371.45	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,371.45 / $1,371.45 / $2,381.51	Professional		$1,371.45	$1,371.45	$2,381.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.14 / $2,508.50 / $3,880.57	Professional		$1,549.14	$2,508.50	$3,880.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,369.48 / $2,295.79 / $3,965.79	Professional		$1,369.48	$2,295.79	$3,965.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,003.00 / $3,298.44	Facility		$1,282.00	$2,003.00	$3,298.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,034.91 / $2,034.91 / $2,034.91	Professional		$2,034.91	$2,034.91	$2,034.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,650.80 / $1,650.80 / $1,650.80	Professional		$1,650.80	$1,650.80	$1,650.80
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 $1,406.93 / $2,059.48 / $3,807.28	Professional		$1,406.93	$2,059.48	$3,807.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,143.25 / $16,941.54	Facility		$55.00	$14,143.25	$16,941.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,151.00 / $10,151.00 / $11,850.83	Professional		$10,151.00	$10,151.00	$11,850.83