Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.77 / $1,615.00 / $7,439.00	Facility		$1,407.77	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,266.59 / $1,490.87 / $2,562.80	Professional		$1,266.59	$1,490.87	$2,562.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.32 / $2,832.64 / $3,807.92	Professional		$1,862.32	$2,832.64	$3,807.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,558.85 / $2,334.13 / $3,808.90	Professional		$1,558.85	$2,334.13	$3,808.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,490.87 / $1,906.40 / $3,768.79	Facility		$1,490.87	$1,906.40	$3,768.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,808.59 / $1,808.59 / $3,725.00	Professional		$1,808.59	$1,808.59	$3,725.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,360.30 / $3,834.30	Professional		$7.00	$2,360.30	$3,834.30
United Facility/Professional Facility Modifier Low / Median / High Price $10,829.00 / $22,655.00 / $29,047.00	Facility		$10,829.00	$22,655.00	$29,047.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,378.32 / $1,931.81 / $4,173.39	Professional		$1,378.32	$1,931.81	$4,173.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,291.52 / $13,880.56	Facility		$55.00	$11,291.52	$13,880.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,648.54 / $11,648.54 / $12,881.93	Professional		$11,648.54	$11,648.54	$12,881.93