Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.80 / $1,410.00 / $12,615.00	Facility		$682.80	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.80 / $718.97 / $1,276.14	Professional		$682.80	$718.97	$1,276.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,503.36 / $2,503.36 / $2,539.89	Facility		$2,503.36	$2,503.36	$2,539.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.90 / $1,078.56 / $1,839.94	Professional		$519.90	$1,078.56	$1,839.94
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 $747.51 / $991.09 / $1,743.55	Professional		$747.51	$991.09	$1,743.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $682.80 / $954.55 / $1,361.84	Facility		$682.80	$954.55	$1,361.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $853.00 / $907.00	Professional		$815.00	$853.00	$907.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $922.90 / $1,838.40	Professional		$5.00	$922.90	$1,838.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $601.19 / $811.24 / $1,611.96	Professional		$601.19	$811.24	$1,611.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,939.54 / $8,957.00 / $26,542.00	Facility		$3,939.54	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,074.72 / $5,074.72 / $6,044.48	Professional		$5,074.72	$5,074.72	$6,044.48