Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.81 / $1,615.00 / $10,561.00	Facility		$1,011.81	$1,615.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,005.23 / $1,011.81 / $1,763.48	Professional		$1,005.23	$1,011.81	$1,763.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,276.84 / $1,691.72 / $2,554.15	Professional		$1,276.84	$1,691.72	$2,554.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,106.29 / $1,574.77 / $2,793.25	Professional		$1,106.29	$1,574.77	$2,793.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,011.81 / $1,277.56 / $2,502.81	Facility		$1,011.81	$1,277.56	$2,502.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,252.45 / $1,252.45 / $2,663.42	Professional		$1,252.45	$1,252.45	$2,663.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,507.40 / $2,598.30	Professional		$6.00	$1,507.40	$2,598.30
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $949.53 / $1,321.47 / $2,756.21	Professional		$949.53	$1,321.47	$2,756.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $6,711.67 / $16,223.75	Facility		$5,897.00	$6,711.67	$16,223.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,262.32 / $7,262.32 / $8,871.75	Professional		$7,262.32	$7,262.32	$8,871.75