Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,549.23 / $1,760.17 / $7,439.00	Facility		$1,549.23	$1,760.17	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,549.23 / $1,549.23 / $2,685.97	Professional		$1,549.23	$1,549.23	$2,685.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,853.35 / $2,824.14 / $4,373.03	Professional		$1,853.35	$2,824.14	$4,373.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,878.06 / $2,649.18 / $4,452.72	Professional		$1,878.06	$2,649.18	$4,452.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,549.23 / $2,243.67 / $3,796.33	Facility		$1,549.23	$2,243.67	$3,796.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,243.67 / $2,243.67 / $2,243.67	Professional		$2,243.67	$2,243.67	$2,243.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,880.80 / $1,880.80 / $1,880.80	Professional		$1,880.80	$1,880.80	$1,880.80
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 $1,604.88 / $2,396.42 / $4,296.08	Professional		$1,604.88	$2,396.42	$4,296.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,248.96 / $27,848.96	Facility		$55.00	$23,248.96	$27,848.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,924.80 / $10,924.80 / $13,392.83	Professional		$10,924.80	$10,924.80	$13,392.83