Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.82 / $1,410.00 / $12,615.00	Facility		$626.82	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.82 / $657.98 / $1,249.51	Professional		$626.82	$657.98	$1,249.51
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 $492.58 / $968.89 / $1,731.92	Professional		$492.58	$968.89	$1,731.92
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 $697.52 / $903.01 / $1,621.97	Professional		$697.52	$903.01	$1,621.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $626.82 / $795.47 / $1,270.76	Facility		$626.82	$795.47	$1,270.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $795.47 / $807.00 / $840.00	Professional		$795.47	$807.00	$840.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $850.40 / $1,747.90	Professional		$5.00	$850.40	$1,747.90
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 $540.41 / $754.08 / $1,564.87	Professional		$540.41	$754.08	$1,564.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $14,442.95 / $16,547.20	Facility		$2,000.00	$14,442.95	$16,547.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,294.01 / $6,294.01 / $6,294.01	Professional		$6,294.01	$6,294.01	$6,294.01