Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,856.00 / $2,856.00 / $2,856.00	Facility		$2,856.00	$2,856.00	$2,856.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,856.00 / $3,345.60 / $3,523.21	Professional		$2,856.00	$3,345.60	$3,523.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,441.57 / $4,441.57 / $4,737.67	Professional		$4,441.57	$4,441.57	$4,737.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $2,815.20 / $4,488.00	Facility		$1,064.00	$2,815.20	$4,488.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,064.00 / $1,064.00 / $1,064.00	Professional		$1,064.00	$1,064.00	$1,064.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,555.87 / $4,580.50 / $6,466.04	Professional		$2,555.87	$4,580.50	$6,466.04
United Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $4,420.00	Professional		$3,400.00	$3,400.00	$4,420.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,876.00 / $14,840.00 / $14,840.00	Facility		$3,876.00	$14,840.00	$14,840.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $15,504.00 / $15,504.00 / $18,360.00	Professional		$15,504.00	$15,504.00	$18,360.00