Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.08 / $1,615.00 / $7,439.00	Facility		$298.08	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.67 / $298.08 / $320.33	Professional		$250.67	$298.08	$320.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.48 / $497.86 / $730.05	Professional		$298.48	$497.86	$730.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19,371.21 / $19,371.21 / $19,371.21	Facility		$19,371.21	$19,371.21	$19,371.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $298.08 / $318.73 / $357.70	Facility		$298.08	$318.73	$357.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $318.73 / $318.73 / $323.00	Professional		$318.73	$318.73	$323.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.60 / $338.60 / $338.60	Professional		$338.60	$338.60	$338.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.47 / $343.83 / $643.90	Professional		$229.47	$343.83	$643.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,407.84 / $55,877.44 / $64,018.40	Facility		$1,407.84	$55,877.44	$64,018.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,901.35 / $2,163.15 / $2,163.15	Professional		$1,901.35	$2,163.15	$2,163.15