Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,112.52 / $7,439.00	Facility		$1,615.00	$2,112.52	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,112.52 / $2,112.52 / $4,090.05	Professional		$2,112.52	$2,112.52	$4,090.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,696.31 / $3,582.86 / $5,402.90	Professional		$2,696.31	$3,582.86	$5,402.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,242.21 / $3,343.55 / $5,558.96	Professional		$2,242.21	$3,343.55	$5,558.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,112.52 / $2,689.41 / $5,308.63	Facility		$2,112.52	$2,689.41	$5,308.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,617.76 / $2,617.76 / $5,810.11	Professional		$2,617.76	$2,617.76	$5,810.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,288.50 / $5,455.40	Professional		$15.00	$3,288.50	$5,455.40
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 $1,977.29 / $2,760.94 / $5,781.41	Professional		$1,977.29	$2,760.94	$5,781.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $33,239.51 / $39,300.16	Facility		$55.00	$33,239.51	$39,300.16
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,270.06 / $15,270.06 / $19,645.50	Professional		$15,270.06	$15,270.06	$19,645.50