Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,428.65 / $1,615.00 / $7,439.00	Facility		$1,428.65	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,428.65 / $1,428.65 / $2,518.53	Professional		$1,428.65	$1,428.65	$2,518.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,046.33 / $2,619.30 / $3,730.92	Professional		$2,046.33	$2,619.30	$3,730.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,637.06 / $2,435.90 / $3,928.95	Professional		$1,637.06	$2,435.90	$3,928.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,428.65 / $2,005.98 / $3,609.60	Facility		$1,428.65	$2,005.98	$3,609.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,005.98 / $2,005.98 / $3,617.61	Professional		$2,005.98	$2,005.98	$3,617.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,437.10 / $3,618.10	Professional		$7.00	$2,437.10	$3,618.10
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 $1,415.80 / $2,012.06 / $4,355.25	Professional		$1,415.80	$2,012.06	$4,355.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,723.28 / $13,276.16	Facility		$55.00	$10,723.28	$13,276.16
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,606.08 / $10,606.08 / $12,089.33	Professional		$10,606.08	$10,606.08	$12,089.33