Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.84 / $1,410.00 / $12,615.00	Facility		$523.84	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.84 / $569.74 / $1,057.55	Professional		$523.84	$569.74	$1,057.55
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 $610.44 / $956.36 / $1,567.10	Professional		$610.44	$956.36	$1,567.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $5,006.99	Facility		$852.10	$852.10	$5,006.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.87 / $780.53 / $1,392.88	Professional		$552.87	$780.53	$1,392.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $523.84 / $693.03 / $1,200.00	Facility		$523.84	$693.03	$1,200.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $689.00 / $713.00 / $852.00	Professional		$689.00	$713.00	$852.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $705.00 / $1,577.30	Professional		$5.00	$705.00	$1,577.30
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 $483.27 / $693.35 / $1,399.78	Professional		$483.27	$693.35	$1,399.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,956.80 / $16,547.20 / $26,542.00	Facility		$2,956.80	$16,547.20	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,935.14 / $4,935.14 / $4,935.14	Professional		$4,935.14	$4,935.14	$4,935.14