Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.35 / $1,933.00 / $15,291.00	Facility		$1,214.35	$1,933.00	$15,291.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.35 / $1,214.35 / $2,263.84	Professional		$1,214.35	$1,214.35	$2,263.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,468.98 / $2,057.98 / $2,952.23	Professional		$1,468.98	$2,057.98	$2,952.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.83 / $1,941.15 / $3,128.15	Professional		$1,313.83	$1,941.15	$3,128.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $1,533.74 / $3,028.82	Facility		$1,157.00	$1,533.74	$3,028.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,485.78 / $1,485.78 / $2,981.85	Professional		$1,485.78	$1,485.78	$2,981.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,549.10 / $3,266.60	Professional		$5.00	$1,549.10	$3,266.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,154.20 / $1,615.39 / $3,878.49	Professional		$1,154.20	$1,615.39	$3,878.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,764.52 / $16,547.20 / $26,542.00	Facility		$6,764.52	$16,547.20	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,853.76 / $8,853.76 / $10,342.28	Professional		$8,853.76	$8,853.76	$10,342.28