Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,922.90 / $7,439.00	Facility		$1,615.00	$1,922.90	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,922.90 / $1,922.90 / $3,850.62	Professional		$1,922.90	$1,922.90	$3,850.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,622.94 / $3,241.97 / $4,894.14	Professional		$1,622.94	$3,241.97	$4,894.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,020.49 / $2,990.32 / $5,034.05	Professional		$2,020.49	$2,990.32	$5,034.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,922.90 / $2,379.40 / $5,053.79	Facility		$1,922.90	$2,379.40	$5,053.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,379.40 / $2,379.40 / $5,275.62	Professional		$2,379.40	$2,379.40	$5,275.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,788.70 / $4,967.60	Professional		$11.00	$2,788.70	$4,967.60
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 $1,840.62 / $2,640.50 / $6,249.72	Professional		$1,840.62	$2,640.50	$6,249.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,645.56 / $26,780.52	Facility		$55.00	$22,645.56	$26,780.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,922.11 / $13,922.11 / $17,843.18	Professional		$13,922.11	$13,922.11	$17,843.18