Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,840.22 / $7,439.00	Facility		$1,615.00	$1,840.22	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,840.22 / $1,840.22 / $3,489.03	Professional		$1,840.22	$1,840.22	$3,489.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,932.79 / $3,094.32 / $4,703.39	Professional		$1,932.79	$3,094.32	$4,703.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,952.08 / $2,889.08 / $4,836.70	Professional		$1,952.08	$2,889.08	$4,836.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,840.22 / $2,340.42 / $4,864.68	Facility		$1,840.22	$2,340.42	$4,864.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,185.76 / $2,185.76 / $5,057.43	Professional		$2,185.76	$2,185.76	$5,057.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,946.10 / $4,751.00	Professional		$11.00	$2,946.10	$4,751.00
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 $1,742.17 / $2,405.01 / $5,036.05	Professional		$1,742.17	$2,405.01	$5,036.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,696.12 / $25,648.56	Facility		$55.00	$21,696.12	$25,648.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,282.32 / $13,282.32 / $17,097.23	Professional		$13,282.32	$13,282.32	$17,097.23