Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,219.99 / $1,841.44 / $12,615.00	Facility		$1,219.99	$1,841.44	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.99 / $1,219.99 / $2,197.92	Professional		$1,219.99	$1,219.99	$2,197.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,145.13 / $2,204.36 / $3,377.77	Professional		$1,145.13	$2,204.36	$3,377.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.60 / $2,010.01 / $3,159.91	Professional		$1,393.60	$2,010.01	$3,159.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,219.99 / $1,567.03 / $3,061.10	Facility		$1,219.99	$1,567.03	$3,061.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,567.03 / $1,567.03 / $3,059.84	Professional		$1,567.03	$1,567.03	$3,059.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,887.30 / $3,206.00	Professional		$5.00	$1,887.30	$3,206.00
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 $1,187.40 / $1,600.50 / $3,367.55	Professional		$1,187.40	$1,600.50	$3,367.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,806.52 / $16,547.20 / $26,542.00	Facility		$6,806.52	$16,547.20	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,283.70 / $14,283.70 / $14,283.70	Professional		$14,283.70	$14,283.70	$14,283.70