Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,164.05 / $1,615.00 / $7,439.00	Facility		$1,164.05	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.05 / $1,164.05 / $2,095.29	Professional		$1,164.05	$1,164.05	$2,095.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,375.44 / $2,076.64 / $3,033.26	Professional		$1,375.44	$2,076.64	$3,033.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,331.86 / $1,980.94 / $3,196.45	Professional		$1,331.86	$1,980.94	$3,196.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,164.05 / $1,633.42 / $2,948.76	Facility		$1,164.05	$1,633.42	$2,948.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,633.42 / $1,633.42 / $2,947.02	Professional		$1,633.42	$1,633.42	$2,947.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,995.40 / $2,950.40	Professional		$6.00	$1,995.40	$2,950.40
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 $1,152.92 / $1,674.62 / $3,547.32	Professional		$1,152.92	$1,674.62	$3,547.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,671.65 / $9,498.16	Facility		$55.00	$7,671.65	$9,498.16
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,316.00 / $10,316.00 / $10,316.00	Professional		$10,316.00	$10,316.00	$10,316.00