Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,212.39 / $1,615.00 / $7,439.00	Facility		$1,212.39	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,212.39 / $1,212.39 / $2,096.66	Professional		$1,212.39	$1,212.39	$2,096.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,351.89 / $2,223.11 / $3,415.70	Professional		$1,351.89	$2,223.11	$3,415.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,502.41 / $2,067.69 / $3,460.83	Professional		$1,502.41	$2,067.69	$3,460.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,212.39 / $1,745.79 / $2,995.46	Facility		$1,212.39	$1,745.79	$2,995.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,745.79 / $1,745.79 / $1,745.79	Professional		$1,745.79	$1,745.79	$1,745.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,848.90 / $1,848.90 / $1,848.90	Professional		$1,848.90	$1,848.90	$1,848.90
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 $1,239.23 / $1,777.85 / $3,353.47	Professional		$1,239.23	$1,777.85	$3,353.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,206.88 / $21,824.48	Facility		$55.00	$18,206.88	$21,824.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,227.00 / $15,227.00 / $15,227.00	Professional		$15,227.00	$15,227.00	$15,227.00