Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,943.07 / $12,615.00	Facility		$1,615.00	$2,943.07	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,841.54 / $1,841.54 / $3,319.07	Professional		$1,841.54	$1,841.54	$3,319.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,370.98 / $3,713.06 / $5,097.56	Professional		$2,370.98	$3,713.06	$5,097.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,069.62 / $3,052.97 / $4,762.60	Professional		$2,069.62	$3,052.97	$4,762.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,841.54 / $2,377.54 / $4,622.10	Facility		$1,841.54	$2,377.54	$4,622.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,377.54 / $2,377.54 / $4,624.22	Professional		$2,377.54	$2,377.54	$4,624.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,501.30 / $4,800.10	Professional		$5.00	$2,501.30	$4,800.10
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 $1,825.27 / $2,572.98 / $5,448.90	Professional		$1,825.27	$2,572.98	$5,448.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $10,292.52 / $13,960.05	Facility		$2,000.00	$10,292.52	$13,960.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,283.70 / $14,283.70 / $15,632.10	Professional		$14,283.70	$14,283.70	$15,632.10