Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,892.84 / $7,439.00	Facility		$1,615.00	$2,892.84	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,832.61 / $2,892.84 / $4,643.30	Professional		$2,832.61	$2,892.84	$4,643.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,430.42 / $5,501.69 / $7,250.29	Professional		$3,430.42	$5,501.69	$7,250.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,849.08 / $4,418.93 / $7,447.03	Professional		$2,849.08	$4,418.93	$7,447.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,815.00 / $3,540.42 / $7,221.66	Facility		$2,815.00	$3,540.42	$7,221.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,540.42 / $3,540.42 / $7,284.59	Professional		$3,540.42	$3,540.42	$7,284.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $3,759.20 / $7,413.20	Professional		$8.00	$3,759.20	$7,413.20
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 $2,687.35 / $3,733.60 / $8,065.94	Professional		$2,687.35	$3,733.60	$8,065.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,462.72 / $30,019.59	Facility		$55.00	$24,462.72	$30,019.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $21,127.92 / $21,127.92 / $24,805.05	Professional		$21,127.92	$21,127.92	$24,805.05