Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.00 / $1,245.00 / $7,439.00	Facility		$903.00	$1,245.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.89 / $953.19 / $953.19	Professional		$404.89	$953.19	$953.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,464.51 / $1,982.08 / $2,940.73	Professional		$1,464.51	$1,982.08	$2,940.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,188.52 / $3,188.52 / $3,188.52	Professional		$3,188.52	$3,188.52	$3,188.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $409.31 / $804.01 / $1,417.30	Facility		$409.31	$804.01	$1,417.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $409.31 / $409.31 / $756.00	Professional		$409.31	$409.31	$756.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $904.00 / $904.00 / $904.00	Professional		$904.00	$904.00	$904.00
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.51 / $1,341.51 / $2,804.73	Professional		$399.51	$1,341.51	$2,804.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,272.51 / $1,437.38 / $2,949.18	Facility		$1,272.51	$1,437.38	$2,949.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,080.10 / $6,080.10 / $6,080.10	Professional		$6,080.10	$6,080.10	$6,080.10