Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,604.78 / $1,804.32 / $7,439.00	Facility		$1,604.78	$1,804.32	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,604.78 / $1,604.78 / $2,852.53	Professional		$1,604.78	$1,604.78	$2,852.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,258.80 / $2,946.73 / $4,193.97	Professional		$2,258.80	$2,946.73	$4,193.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,836.04 / $2,744.17 / $4,406.49	Professional		$1,836.04	$2,744.17	$4,406.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,604.78 / $2,254.76 / $4,057.96	Facility		$1,604.78	$2,254.76	$4,057.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,254.76 / $2,254.76 / $4,100.57	Professional		$2,254.76	$2,254.76	$4,100.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,850.70 / $4,056.40	Professional		$7.00	$2,850.70	$4,056.40
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 $1,621.78 / $2,371.55 / $5,099.95	Professional		$1,621.78	$2,371.55	$5,099.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,062.72 / $14,928.88	Facility		$55.00	$12,062.72	$14,928.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,595.18 / $15,367.99 / $15,367.99	Professional		$13,595.18	$15,367.99	$15,367.99