Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.00 / $2,519.91 / $8,413.00	Facility		$1,338.00	$2,519.91	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,697.20 / $1,697.20 / $2,519.91	Professional		$1,697.20	$1,697.20	$2,519.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,183.44 / $3,306.35 / $4,705.43	Professional		$2,183.44	$3,306.35	$4,705.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,027.48 / $2,747.57 / $4,747.32	Professional		$2,027.48	$2,747.57	$4,747.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,607.54 / $2,183.44 / $3,547.15	Facility		$1,607.54	$2,183.44	$3,547.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,183.44 / $2,183.44 / $2,183.44	Professional		$2,183.44	$2,183.44	$2,183.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,040.40 / $2,040.40 / $2,040.40	Professional		$2,040.40	$2,040.40	$2,040.40
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,689.81 / $2,459.53 / $4,777.77	Professional		$1,689.81	$2,459.53	$4,777.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,625.18 / $21,229.12	Facility		$55.00	$17,625.18	$21,229.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,089.76 / $14,815.65 / $14,815.65	Professional		$12,089.76	$14,815.65	$14,815.65