Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,144.58 / $1,859.62 / $12,615.00	Facility		$1,144.58	$1,859.62	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,144.58 / $1,144.58 / $2,062.23	Professional		$1,144.58	$1,144.58	$2,062.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,144.13 / $2,068.07 / $3,172.15	Professional		$1,144.13	$2,068.07	$3,172.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,308.59 / $1,876.52 / $2,962.29	Professional		$1,308.59	$1,876.52	$2,962.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,144.58 / $1,470.95 / $2,873.01	Facility		$1,144.58	$1,470.95	$2,873.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,470.95 / $1,470.95 / $2,869.15	Professional		$1,470.95	$1,470.95	$2,869.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,662.70 / $3,001.70	Professional		$5.00	$1,662.70	$3,001.70
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 $1,133.40 / $1,552.46 / $3,740.52	Professional		$1,133.40	$1,552.46	$3,740.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,390.84 / $16,547.20 / $26,542.00	Facility		$6,390.84	$16,547.20	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,614.37 / $9,614.37 / $9,717.75	Professional		$9,614.37	$9,614.37	$9,717.75