Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,785.97 / $7,439.00	Facility		$1,615.00	$1,785.97	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,615.00 / $1,785.97 / $2,869.38	Professional		$1,615.00	$1,785.97	$2,869.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,252.75 / $3,364.10 / $4,180.79	Professional		$2,252.75	$3,364.10	$4,180.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,921.02 / $2,824.79 / $4,661.84	Professional		$1,921.02	$2,824.79	$4,661.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,785.97 / $2,174.28 / $4,374.57	Facility		$1,785.97	$2,174.28	$4,374.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,174.28 / $2,174.28 / $4,770.80	Professional		$2,174.28	$2,174.28	$4,770.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $2,632.10 / $4,558.70	Professional		$8.00	$2,632.10	$4,558.70
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 $1,661.64 / $2,331.28 / $4,882.22	Professional		$1,661.64	$2,331.28	$4,882.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,372.18 / $18,388.98	Facility		$55.00	$15,372.18	$18,388.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,714.40 / $12,714.40 / $15,920.33	Professional		$12,714.40	$12,714.40	$15,920.33