Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.92 / $584.91 / $1,615.00	Facility		$206.92	$584.91	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.92 / $460.43 / $828.37	Professional		$206.92	$460.43	$828.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.86 / $487.21 / $1,088.66	Professional		$156.86	$487.21	$1,088.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.71 / $441.75 / $1,109.00	Professional		$234.71	$441.75	$1,109.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $206.92 / $470.41 / $738.51	Facility		$206.92	$470.41	$738.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $470.41 / $550.00 / $708.00	Professional		$470.41	$550.00	$708.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $738.10 / $1,213.09	Professional		$3.00	$738.10	$1,213.09
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,733.00 / $6,543.00	Facility		$900.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.64 / $542.11 / $1,408.98	Professional		$389.64	$542.11	$1,408.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,022.34 / $1,022.34	Facility		$55.00	$1,022.34	$1,022.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,430.00 / $4,557.05 / $4,719.60	Professional		$4,430.00	$4,557.05	$4,719.60