Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $3,886.00 / $7,439.00	Facility		$1,615.00	$3,886.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,886.00 / $3,886.00 / $6,962.92	Professional		$3,886.00	$3,886.00	$6,962.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,652.64 / $6,582.47 / $9,887.41	Professional		$4,652.64	$6,582.47	$9,887.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,904.27 / $5,972.74 / $10,261.46	Professional		$3,904.27	$5,972.74	$10,261.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,886.00 / $4,842.77 / $10,279.75	Facility		$3,886.00	$4,842.77	$10,279.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,824.78 / $4,824.78 / $10,843.98	Professional		$4,824.78	$4,824.78	$10,843.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $5,133.89 / $9,983.00	Professional		$15.00	$5,133.89	$9,983.00
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 $3,733.25 / $4,991.29 / $10,907.84	Professional		$3,733.25	$4,991.29	$10,907.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $60,932.00 / $71,838.08	Facility		$55.00	$60,932.00	$71,838.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $28,102.02 / $28,102.02 / $36,030.60	Professional		$28,102.02	$28,102.02	$36,030.60