Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,031.16 / $7,439.00	Facility		$1,615.00	$2,031.16	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,031.16 / $2,031.16 / $4,213.49	Professional		$2,031.16	$2,031.16	$4,213.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,451.33 / $3,970.01 / $5,164.68	Professional		$2,451.33	$3,970.01	$5,164.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,063.02 / $3,060.21 / $5,307.78	Professional		$2,063.02	$3,060.21	$5,307.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,031.16 / $2,472.90 / $4,024.10	Facility		$2,031.16	$2,472.90	$4,024.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,472.90 / $2,472.90 / $5,560.19	Professional		$2,472.90	$2,472.90	$5,560.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $4,045.50 / $5,260.60	Professional		$11.00	$4,045.50	$5,260.60
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 $1,934.89 / $2,608.69 / $5,561.44	Professional		$1,934.89	$2,608.69	$5,561.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,958.00 / $28,371.00	Facility		$55.00	$23,958.00	$28,371.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,599.08 / $14,599.08 / $18,873.08	Professional		$14,599.08	$14,599.08	$18,873.08