Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.95 / $2,228.40 / $12,615.00	Facility		$674.95	$2,228.40	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.95 / $710.44 / $1,362.04	Professional		$674.95	$710.44	$1,362.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,045.81 / $6,045.81 / $6,134.03	Facility		$6,045.81	$6,045.81	$6,134.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $770.20 / $1,026.02 / $1,874.83	Professional		$770.20	$1,026.02	$1,874.83
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 $727.78 / $934.82 / $1,746.74	Professional		$727.78	$934.82	$1,746.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $674.95 / $833.00 / $1,346.09	Facility		$674.95	$833.00	$1,346.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $824.99 / $867.00 / $895.00	Professional		$824.99	$867.00	$895.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $908.50 / $1,758.50	Professional		$7.00	$908.50	$1,758.50
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 $561.04 / $798.73 / $1,594.58	Professional		$561.04	$798.73	$1,594.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $11,953.99 / $13,960.05	Facility		$2,000.00	$11,953.99	$13,960.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,008.36 / $6,008.36 / $6,008.36	Professional		$6,008.36	$6,008.36	$6,008.36