Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,187.72 / $1,941.81 / $10,690.00	Facility		$1,187.72	$1,941.81	$10,690.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,187.72 / $1,459.41 / $2,390.03	Professional		$1,187.72	$1,459.41	$2,390.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,256.46 / $2,490.88 / $3,873.06	Professional		$1,256.46	$2,490.88	$3,873.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,471.25 / $2,106.01 / $3,714.82	Professional		$1,471.25	$2,106.01	$3,714.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,187.72 / $1,814.51 / $2,988.50	Facility		$1,187.72	$1,814.51	$2,988.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,814.51 / $1,814.51 / $3,654.67	Professional		$1,814.51	$1,814.51	$3,654.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,085.80 / $3,855.30	Professional		$5.00	$2,085.80	$3,855.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,405.80 / $1,975.18 / $4,158.88	Professional		$1,405.80	$1,975.18	$4,158.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,287.68 / $8,287.68 / $26,542.00	Facility		$8,287.68	$8,287.68	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,776.32 / $10,701.68 / $12,445.95	Professional		$8,776.32	$10,701.68	$12,445.95