Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.00 / $2,539.86 / $8,413.00	Facility		$1,338.00	$2,539.86	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,443.59 / $1,701.34 / $2,457.31	Professional		$1,443.59	$1,701.34	$2,457.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,120.57 / $2,830.37 / $4,356.85	Professional		$2,120.57	$2,830.37	$4,356.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,831.17 / $2,628.32 / $4,387.45	Professional		$1,831.17	$2,628.32	$4,387.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,701.34 / $2,065.78 / $4,293.71	Facility		$1,701.34	$2,065.78	$4,293.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,065.78 / $2,065.78 / $4,290.30	Professional		$2,065.78	$2,065.78	$4,290.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,298.40 / $4,372.60	Professional		$7.00	$2,298.40	$4,372.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,556.17 / $2,217.53 / $4,759.53	Professional		$1,556.17	$2,217.53	$4,759.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,855.68 / $15,801.68	Facility		$55.00	$12,855.68	$15,801.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,514.24 / $12,514.24 / $14,662.88	Professional		$12,514.24	$12,514.24	$14,662.88