Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $1,615.00 / $7,439.00	Facility		$1,245.00	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.96 / $1,291.96 / $1,981.18	Professional		$1,291.96	$1,291.96	$1,981.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.77 / $2,259.51 / $3,588.55	Professional		$1,047.77	$2,259.51	$3,588.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,371.48 / $1,932.88 / $3,406.23	Professional		$1,371.48	$1,932.88	$3,406.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,098.17 / $1,615.85 / $2,882.74	Facility		$1,098.17	$1,615.85	$2,882.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,615.85 / $1,615.85 / $1,615.85	Professional		$1,615.85	$1,615.85	$1,615.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $936.40 / $936.40 / $936.40	Professional		$936.40	$936.40	$936.40
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 $1,159.35 / $1,703.81 / $3,542.41	Professional		$1,159.35	$1,703.81	$3,542.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,448.60 / $16,221.92	Facility		$55.00	$13,448.60	$16,221.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,238.64 / $9,238.64 / $11,305.95	Professional		$9,238.64	$9,238.64	$11,305.95