Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,121.35 / $7,439.00	Facility		$1,615.00	$2,121.35	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,121.35 / $2,121.35 / $3,686.83	Professional		$2,121.35	$2,121.35	$3,686.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,560.01 / $3,593.52 / $5,405.20	Professional		$2,560.01	$3,593.52	$5,405.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,250.36 / $3,367.62 / $5,562.32	Professional		$2,250.36	$3,367.62	$5,562.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,121.35 / $2,695.10 / $5,542.16	Facility		$2,121.35	$2,695.10	$5,542.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,629.65 / $2,629.65 / $5,826.40	Professional		$2,629.65	$2,629.65	$5,826.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,081.50 / $5,476.60	Professional		$11.00	$3,081.50	$5,476.60
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 $2,033.29 / $2,936.96 / $6,333.03	Professional		$2,033.29	$2,936.96	$6,333.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,983.64 / $29,534.52	Facility		$55.00	$24,983.64	$29,534.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,272.28 / $15,272.28 / $19,687.34	Professional		$15,272.28	$15,272.28	$19,687.34