Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,319.69 / $1,615.00 / $7,439.00	Facility		$1,319.69	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,379.02 / $1,379.02 / $2,109.37	Professional		$1,379.02	$1,379.02	$2,109.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,785.37 / $2,564.56 / $3,801.06	Professional		$1,785.37	$2,564.56	$3,801.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,430.76 / $2,054.73 / $3,804.96	Professional		$1,430.76	$2,054.73	$3,804.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,379.02 / $1,704.44 / $3,411.69	Facility		$1,379.02	$1,704.44	$3,411.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,704.44 / $1,704.44 / $1,704.44	Professional		$1,704.44	$1,704.44	$1,704.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,824.40 / $1,824.40 / $1,824.40	Professional		$1,824.40	$1,824.40	$1,824.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,283.83 / $1,785.37 / $3,760.49	Professional		$1,283.83	$1,785.37	$3,760.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,156.35 / $11,059.93	Facility		$55.00	$9,156.35	$11,059.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,088.25 / $10,088.25 / $12,101.78	Professional		$10,088.25	$10,088.25	$12,101.78