Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,481.68 / $2,473.89 / $15,291.00	Facility		$1,481.68	$2,473.89	$15,291.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,481.68 / $1,481.68 / $2,670.94	Professional		$1,481.68	$1,481.68	$2,670.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,681.90 / $2,676.29 / $3,792.62	Professional		$1,681.90	$2,676.29	$3,792.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,704.06 / $2,499.19 / $3,890.65	Professional		$1,704.06	$2,499.19	$3,890.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,481.68 / $1,900.18 / $3,719.06	Facility		$1,481.68	$1,900.18	$3,719.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,900.18 / $1,900.18 / $3,743.70	Professional		$1,900.18	$1,900.18	$3,743.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,295.10 / $3,851.50	Professional		$5.00	$2,295.10	$3,851.50
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 $1,462.11 / $2,005.39 / $4,088.51	Professional		$1,462.11	$2,005.39	$4,088.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,281.44 / $10,239.48 / $26,542.00	Facility		$8,281.44	$10,239.48	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,853.85 / $12,853.85 / $12,853.85	Professional		$12,853.85	$12,853.85	$12,853.85