Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,607.05 / $1,769.81 / $7,439.00	Facility		$1,607.05	$1,769.81	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,607.05 / $1,607.05 / $3,164.77	Professional		$1,607.05	$1,607.05	$3,164.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,180.89 / $3,489.43 / $4,381.77	Professional		$2,180.89	$3,489.43	$4,381.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,710.06 / $2,748.06 / $4,986.47	Professional		$1,710.06	$2,748.06	$4,986.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,607.05 / $2,281.56 / $3,927.38	Facility		$1,607.05	$2,281.56	$3,927.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,319.76 / $2,319.76 / $4,306.06	Professional		$2,319.76	$2,319.76	$4,306.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,111.40 / $2,850.12 / $3,908.20	Professional		$2,111.40	$2,850.12	$3,908.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,906.00 / $6,388.00	Facility		$1,064.00	$3,906.00	$6,388.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,593.27 / $2,311.61 / $5,149.10	Professional		$1,593.27	$2,311.61	$5,149.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,496.37 / $19,785.70	Facility		$55.00	$16,496.37	$19,785.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,288.48 / $11,288.48 / $13,826.40	Professional		$11,288.48	$11,288.48	$13,826.40