Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,659.59 / $8,709.64	Facility		$891.25	$1,659.59	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $2,344.23	Professional		$794.33	$933.25	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,677.35	Facility		$4,570.88	$4,570.88	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $2,398.83	Professional		$758.58	$1,122.02	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,137.96	Professional		$912.01	$1,230.27	$2,137.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,089.30	Professional		$1,445.44	$1,445.44	$2,089.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,819.70	Facility		$891.25	$1,148.15	$1,819.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $1,949.84	Professional		$1,202.26	$1,548.82	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $11,748.98 / $18,620.87	Facility		$4,466.84	$11,748.98	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,905.46	Professional		$758.58	$977.24	$1,905.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $13,803.84 / $13,803.84	Facility		$56.23	$13,803.84	$13,803.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,762.47	Professional		$7,079.46	$7,079.46	$7,762.47