Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $708.41 / $1,249.79 / $5,449.00	Facility		$708.41	$1,249.79	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.41 / $851.64 / $1,409.40	Professional		$708.41	$851.64	$1,409.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.33 / $1,036.24 / $1,964.46	Professional		$633.33	$1,036.24	$1,964.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,051.46	Facility		$395.75	$395.75	$1,051.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.55 / $1,002.65 / $1,882.13	Professional		$657.55	$1,002.65	$1,882.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $873.61 / $1,447.79	Facility		$505.00	$873.61	$1,447.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $907.84 / $1,005.00 / $1,096.00	Professional		$907.84	$1,005.00	$1,096.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,133.09 / $2,167.50	Professional		$5.00	$1,133.09	$2,167.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,456.00 / $6,097.00	Facility		$1,064.00	$3,456.00	$6,097.00
United Facility/Professional Professional Modifier Low / Median / High Price $670.51 / $933.10 / $1,984.01	Professional		$670.51	$933.10	$1,984.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,851.47 / $4,851.47	Facility		$55.00	$4,851.47	$4,851.47
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,111.12 / $6,144.16 / $7,146.23	Professional		$5,111.12	$6,144.16	$7,146.23