Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.83 / $1,615.00 / $15,291.00	Facility		$722.83	$1,615.00	$15,291.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.83 / $760.38 / $1,430.18	Professional		$722.83	$760.38	$1,430.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,920.34 / $1,920.34 / $1,948.36	Facility		$1,920.34	$1,920.34	$1,948.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $827.25 / $1,237.24 / $1,894.87	Professional		$827.25	$1,237.24	$1,894.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,182.48 / $1,182.48 / $5,006.99	Facility		$1,182.48	$1,182.48	$5,006.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $795.22 / $1,028.53 / $1,856.49	Professional		$795.22	$1,028.53	$1,856.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $722.83 / $892.00 / $1,448.77	Facility		$722.83	$892.00	$1,448.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $858.73 / $925.00 / $1,207.00	Professional		$858.73	$925.00	$1,207.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $971.60 / $1,895.40	Professional		$5.00	$971.60	$1,895.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $624.47 / $901.29 / $1,808.24	Professional		$624.47	$901.29	$1,808.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,148.70 / $16,547.20 / $26,542.00	Facility		$4,148.70	$16,547.20	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,323.73 / $6,323.73 / $6,345.83	Professional		$6,323.73	$6,323.73	$6,345.83