Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,766.25 / $7,439.00	Facility		$1,615.00	$1,766.25	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,683.12 / $1,683.12 / $2,730.36	Professional		$1,683.12	$1,683.12	$2,730.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,810.82 / $3,009.99 / $4,754.29	Professional		$1,810.82	$3,009.99	$4,754.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,959.69 / $2,744.22 / $4,635.70	Professional		$1,959.69	$2,744.22	$4,635.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,683.12 / $2,290.16 / $4,081.34	Facility		$1,683.12	$2,290.16	$4,081.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,290.16 / $2,290.16 / $2,290.16	Professional		$2,290.16	$2,290.16	$2,290.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,726.90 / $1,726.90 / $1,726.90	Professional		$1,726.90	$1,726.90	$1,726.90
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 $1,690.10 / $2,406.01 / $4,650.63	Professional		$1,690.10	$2,406.01	$4,650.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,202.72 / $30,446.72	Facility		$55.00	$25,202.72	$30,446.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,971.52 / $11,971.52 / $14,486.55	Professional		$11,971.52	$11,971.52	$14,486.55