Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,888.44 / $14,454.40	Facility		$1,659.59	$5,888.44	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $3,981.07	Professional		$1,412.54	$1,659.59	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $3,981.07	Professional		$1,819.70	$2,818.38	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $3,890.45	Professional		$1,659.59	$2,398.83	$3,890.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,235.94	Facility		$1,513.56	$2,041.74	$3,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $4,168.69	Professional		$1,659.59	$2,951.21	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $12,302.69 / $19,054.61	Facility		$4,466.84	$12,302.69	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,548.13	Professional		$1,445.44	$1,949.84	$3,548.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $33,884.42	Facility		$16,595.87	$16,595.87	$33,884.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $13,182.57	Professional		$11,481.54	$11,481.54	$13,182.57