Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,192.85 / $1,615.00 / $7,439.00	Facility		$1,192.85	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.85 / $1,192.85 / $2,065.23	Professional		$1,192.85	$1,192.85	$2,065.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,314.71 / $2,172.63 / $3,503.68	Professional		$1,314.71	$2,172.63	$3,503.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,478.04 / $2,039.79 / $3,434.81	Professional		$1,478.04	$2,039.79	$3,434.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,192.85 / $1,722.42 / $2,926.28	Facility		$1,192.85	$1,722.42	$2,926.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,722.42 / $1,722.42 / $1,722.42	Professional		$1,722.42	$1,722.42	$1,722.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,505.50 / $1,505.50 / $1,505.50	Professional		$1,505.50	$1,505.50	$1,505.50
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 $1,220.40 / $1,815.42 / $3,310.46	Professional		$1,220.40	$1,815.42	$3,310.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,319.01 / $14,767.61	Facility		$55.00	$12,319.01	$14,767.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,151.00 / $10,151.00 / $10,323.68	Professional		$10,151.00	$10,151.00	$10,323.68