Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.32 / $1,261.07 / $7,439.00	Facility		$768.32	$1,261.07	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.32 / $813.70 / $1,551.87	Professional		$768.32	$813.70	$1,551.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,474.86 / $3,474.86 / $3,525.56	Facility		$3,474.86	$3,474.86	$3,525.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.94 / $1,590.83 / $12,056.00	Professional		$904.94	$1,590.83	$12,056.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $5,006.99	Facility		$530.04	$530.04	$5,006.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $857.74 / $1,131.27 / $2,030.00	Professional		$857.74	$1,131.27	$2,030.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $768.32 / $996.14 / $1,586.89	Facility		$768.32	$996.14	$1,586.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $1,004.00 / $1,012.00	Professional		$507.00	$1,004.00	$1,012.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,021.90 / $2,217.30	Professional		$5.00	$1,021.90	$2,217.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.30 / $957.12 / $2,054.06	Professional		$682.30	$957.12	$2,054.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,329.72 / $16,394.00 / $16,547.20	Facility		$4,329.72	$16,394.00	$16,547.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,985.31 / $8,985.31 / $8,985.31	Professional		$8,985.31	$8,985.31	$8,985.31