Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,523.73 / $1,739.72 / $7,439.00	Facility		$1,523.73	$1,739.72	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,739.72 / $1,739.72 / $3,001.26	Professional		$1,739.72	$1,739.72	$3,001.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,747.00 / $2,768.60 / $4,439.46	Professional		$1,747.00	$2,768.60	$4,439.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,729.04 / $2,592.19 / $4,508.01	Professional		$1,729.04	$2,592.19	$4,508.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,739.00 / $2,087.66 / $4,587.52	Facility		$1,739.00	$2,087.66	$4,587.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,078.06 / $2,078.06 / $4,765.03	Professional		$2,078.06	$2,078.06	$4,765.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,361.60 / $4,503.80	Professional		$11.00	$2,361.60	$4,503.80
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,612.62 / $2,300.34 / $5,863.42	Professional		$1,612.62	$2,300.34	$5,863.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,518.80 / $24,290.88	Facility		$55.00	$20,518.80	$24,290.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,445.12 / $12,445.12 / $16,165.28	Professional		$12,445.12	$12,445.12	$16,165.28