Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.80 / $1,666.01 / $7,439.00	Facility		$1,472.80	$1,666.01	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,472.80 / $1,472.80 / $2,651.04	Professional		$1,472.80	$1,472.80	$2,651.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,756.53 / $2,641.10 / $3,844.88	Professional		$1,756.53	$2,641.10	$3,844.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,693.05 / $2,512.91 / $4,063.31	Professional		$1,693.05	$2,512.91	$4,063.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,472.80 / $2,074.69 / $3,724.75	Facility		$1,472.80	$2,074.69	$3,724.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,074.69 / $2,074.69 / $3,733.85	Professional		$2,074.69	$2,074.69	$3,733.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $2,528.40 / $3,722.50	Professional		$8.00	$2,528.40	$3,722.50
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 $1,481.41 / $2,186.85 / $4,496.56	Professional		$1,481.41	$2,186.85	$4,496.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,455.46 / $15,414.48	Facility		$55.00	$12,455.46	$15,414.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,894.00 / $12,894.00 / $12,894.00	Professional		$12,894.00	$12,894.00	$12,894.00