Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.34 / $1,615.00 / $7,439.00	Facility		$201.34	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.34 / $201.34 / $257.72	Professional		$201.34	$201.34	$257.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.67 / $488.07 / $633.17	Professional		$347.67	$488.07	$633.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,337.02 / $3,337.02 / $3,337.02	Facility		$3,337.02	$3,337.02	$3,337.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,322.83 / $1,322.83 / $1,322.83	Professional		$1,322.83	$1,322.83	$1,322.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $195.18 / $201.34 / $269.08	Facility		$195.18	$201.34	$269.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $195.18 / $195.18 / $414.00	Professional		$195.18	$195.18	$414.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $441.00 / $441.00 / $441.00	Professional		$441.00	$441.00	$441.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.85 / $309.51 / $553.17	Professional		$201.85	$309.51	$553.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $727.82 / $9,625.81 / $11,028.25	Facility		$727.82	$9,625.81	$11,028.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,319.12 / $2,777.40 / $2,777.40	Professional		$2,319.12	$2,777.40	$2,777.40