Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,473.27 / $7,439.00	Facility		$1,615.00	$2,473.27	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,473.27 / $2,473.27 / $4,740.17	Professional		$2,473.27	$2,473.27	$4,740.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,604.33 / $4,208.43 / $6,327.59	Professional		$2,604.33	$4,208.43	$6,327.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,670.56 / $3,890.24 / $6,795.27	Professional		$2,670.56	$3,890.24	$6,795.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,473.27 / $3,471.80 / $4,894.71	Facility		$2,473.27	$3,471.80	$4,894.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,095.40 / $3,095.40 / $6,819.30	Professional		$3,095.40	$3,095.40	$6,819.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $4,940.80 / $6,380.20	Professional		$11.00	$4,940.80	$6,380.20
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 $2,332.34 / $3,242.34 / $6,875.31	Professional		$2,332.34	$3,242.34	$6,875.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $29,127.36 / $34,419.72	Facility		$55.00	$29,127.36	$34,419.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $18,482.93 / $18,482.93 / $22,954.05	Professional		$18,482.93	$18,482.93	$22,954.05