Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.79 / $3,707.00 / $5,563.78	Facility		$506.79	$3,707.00	$5,563.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.57 / $553.73 / $963.77	Professional		$455.57	$553.73	$963.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.38 / $1,007.73 / $2,250.69	Professional		$615.38	$1,007.73	$2,250.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.08 / $979.03 / $1,465.04	Professional		$588.08	$979.03	$1,465.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $506.79 / $761.04 / $1,322.58	Facility		$506.79	$761.04	$1,322.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $761.64 / $761.64 / $761.64	Professional		$761.64	$761.64	$761.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $473.65 / $657.05 / $996.93	Professional		$473.65	$657.05	$996.93
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 $519.95 / $635.49 / $1,434.08	Professional		$519.95	$635.49	$1,434.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,681.04 / $2,681.04	Facility		$55.00	$2,681.04	$2,681.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,853.12 / $5,231.41 / $5,380.58	Professional		$3,853.12	$5,231.41	$5,380.58