Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,109.73 / $7,439.00	Facility		$1,615.00	$2,109.73	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,109.73 / $2,109.73 / $4,225.54	Professional		$2,109.73	$2,109.73	$4,225.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,667.77 / $3,667.17 / $5,394.60	Professional		$2,667.77	$3,667.17	$5,394.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,326.96 / $3,438.07 / $5,791.05	Professional		$2,326.96	$3,438.07	$5,791.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,109.73 / $2,973.47 / $4,273.91	Facility		$2,109.73	$2,973.47	$4,273.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,625.48 / $2,625.48 / $5,803.45	Professional		$2,625.48	$2,625.48	$5,803.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $4,209.80 / $5,445.40	Professional		$11.00	$4,209.80	$5,445.40
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 $2,030.17 / $2,911.20 / $6,856.18	Professional		$2,030.17	$2,911.20	$6,856.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,843.00 / $29,364.72	Facility		$55.00	$24,843.00	$29,364.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $16,516.93 / $16,516.93 / $19,576.58	Professional		$16,516.93	$16,516.93	$19,576.58