Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.06 / $1,410.00 / $12,615.00	Facility		$696.06	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.06 / $732.92 / $1,370.25	Professional		$696.06	$732.92	$1,370.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.63 / $1,099.47 / $1,876.84	Professional		$799.63	$1,099.47	$1,876.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $2,710.28	Facility		$852.10	$852.10	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.38 / $1,008.51 / $1,778.68	Professional		$771.38	$1,008.51	$1,778.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $696.06 / $967.52 / $1,405.34	Facility		$696.06	$967.52	$1,405.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $863.00 / $925.00	Professional		$815.00	$863.00	$925.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $941.10 / $1,870.90	Professional		$5.00	$941.10	$1,870.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $8,549.00 / $13,997.00	Facility		$2,629.00	$8,549.00	$13,997.00
United Facility/Professional Professional Modifier Low / Median / High Price $594.84 / $849.99 / $1,893.75	Professional		$594.84	$849.99	$1,893.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,019.28 / $8,957.00 / $26,542.00	Facility		$4,019.28	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,773.90 / $5,773.90 / $6,167.40	Professional		$5,773.90	$5,773.90	$6,167.40