Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.71 / $1,615.00 / $7,439.00	Facility		$1,610.71	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,610.71 / $1,610.71 / $2,677.22	Professional		$1,610.71	$1,610.71	$2,677.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,219.57 / $4,143.04 / $4,723.97	Professional		$2,219.57	$4,143.04	$4,723.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,935.16 / $2,754.32 / $4,565.97	Professional		$1,935.16	$2,754.32	$4,565.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,610.71 / $2,616.19 / $3,521.72	Facility		$1,610.71	$2,616.19	$3,521.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,338.57 / $2,338.57 / $2,338.57	Professional		$2,338.57	$2,338.57	$2,338.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,244.53 / $2,342.19 / $2,811.58	Professional		$2,244.53	$2,342.19	$2,811.58
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 $1,672.82 / $2,441.54 / $4,481.02	Professional		$1,672.82	$2,441.54	$4,481.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,173.44 / $28,954.72	Facility		$55.00	$24,173.44	$28,954.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $16,656.09 / $16,656.09 / $16,656.09	Professional		$16,656.09	$16,656.09	$16,656.09