Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.13 / $1,428.24 / $6,953.60	Facility		$542.13	$1,428.24	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $668.86 / $1,107.42	Professional		$485.85	$668.86	$1,107.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.43 / $776.20 / $1,390.77	Professional		$505.43	$776.20	$1,390.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $1,034.26	Facility		$606.10	$606.10	$1,034.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.30 / $764.28 / $1,428.84	Professional		$436.30	$764.28	$1,428.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $647.60 / $1,125.74	Facility		$400.00	$647.60	$1,125.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $646.27 / $722.00 / $963.00	Professional		$646.27	$722.00	$963.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,004.10 / $1,585.80	Professional		$5.00	$1,004.10	$1,585.80
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 $480.26 / $691.83 / $1,782.04	Professional		$480.26	$691.83	$1,782.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $4,113.35 / $4,113.35	Facility		$2,000.00	$4,113.35	$4,113.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,316.16 / $5,380.24 / $6,303.30	Professional		$4,316.16	$5,380.24	$6,303.30