Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,496.96 / $6,953.60	Facility		$1,615.00	$2,496.96	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,496.96 / $2,496.96 / $3,813.23	Professional		$2,496.96	$2,496.96	$3,813.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,039.79 / $4,432.12 / $6,206.84	Professional		$3,039.79	$4,432.12	$6,206.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,850.90 / $4,113.68 / $6,422.52	Professional		$2,850.90	$4,113.68	$6,422.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,496.96 / $3,111.99 / $6,251.40	Facility		$2,496.96	$3,111.99	$6,251.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,111.99 / $3,111.99 / $6,205.52	Professional		$3,111.99	$3,111.99	$6,205.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $3,375.70 / $6,538.80	Professional		$5.00	$3,375.70	$6,538.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,906.00 / $6,388.00	Facility		$1,064.00	$3,906.00	$6,388.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,413.94 / $3,284.67 / $6,858.12	Professional		$2,413.94	$3,284.67	$6,858.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,963.50 / $17,286.18	Facility		$55.00	$13,963.50	$17,286.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $18,267.04 / $18,267.04 / $21,228.08	Professional		$18,267.04	$18,267.04	$21,228.08