Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.09 / $1,615.00 / $7,439.00	Facility		$1,088.09	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,088.09 / $1,088.09 / $1,886.82	Professional		$1,088.09	$1,088.09	$1,886.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,250.04 / $2,024.16 / $3,187.98	Professional		$1,250.04	$2,024.16	$3,187.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,362.04 / $1,901.56 / $3,200.10	Professional		$1,362.04	$1,901.56	$3,200.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,088.09 / $1,633.30 / $2,667.92	Facility		$1,088.09	$1,633.30	$2,667.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,633.30 / $1,633.30 / $1,633.30	Professional		$1,633.30	$1,633.30	$1,633.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.30 / $1,412.30 / $1,412.30	Professional		$1,412.30	$1,412.30	$1,412.30
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 $1,131.54 / $1,720.32 / $3,018.08	Professional		$1,131.54	$1,720.32	$3,018.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,190.44 / $11,011.50	Facility		$55.00	$9,190.44	$11,011.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,151.00 / $10,151.00 / $10,151.00	Professional		$10,151.00	$10,151.00	$10,151.00