Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.20 / $1,410.00 / $12,615.00	Facility		$611.20	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.20 / $644.47 / $1,144.34	Professional		$611.20	$644.47	$1,144.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.61 / $963.11 / $1,646.25	Professional		$462.61	$963.11	$1,646.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $6,025.59	Facility		$852.10	$852.10	$6,025.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.79 / $887.24 / $1,555.50	Professional		$677.79	$887.24	$1,555.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $611.20 / $796.53 / $1,220.73	Facility		$611.20	$796.53	$1,220.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $734.36 / $766.00 / $852.00	Professional		$734.36	$766.00	$852.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $832.90 / $1,634.80	Professional		$5.00	$832.90	$1,634.80
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 $526.26 / $744.57 / $1,634.24	Professional		$526.26	$744.57	$1,634.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,545.22 / $19,913.50 / $26,542.00	Facility		$3,545.22	$19,913.50	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,569.28 / $4,569.28 / $5,443.43	Professional		$4,569.28	$4,569.28	$5,443.43