Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.77 / $1,245.00 / $7,593.00	Facility		$485.77	$1,245.00	$7,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.56 / $555.74 / $1,042.99	Professional		$463.56	$555.74	$1,042.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.15 / $702.15 / $1,429.92	Professional		$529.15	$702.15	$1,429.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.38 / $685.46 / $1,319.70	Professional		$521.38	$685.46	$1,319.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $485.77 / $677.78 / $956.16	Facility		$485.77	$677.78	$956.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $746.34	Professional		$600.00	$600.00	$746.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $891.64 / $891.64 / $1,117.65	Professional		$891.64	$891.64	$1,117.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.21 / $613.36 / $1,425.43	Professional		$507.21	$613.36	$1,425.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,580.01 / $2,580.01 / $16,394.00	Facility		$2,580.01	$2,580.01	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,663.20 / $4,603.28 / $5,440.05	Professional		$3,663.20	$4,603.28	$5,440.05