Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.68 / $1,410.00 / $12,615.00	Facility		$665.68	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.23 / $701.56 / $1,245.64	Professional		$633.23	$701.56	$1,245.64
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 $766.07 / $1,053.33 / $1,795.87	Professional		$766.07	$1,053.33	$1,795.87
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 $740.29 / $955.32 / $1,699.85	Professional		$740.29	$955.32	$1,699.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $665.68 / $920.71 / $1,348.71	Facility		$665.68	$920.71	$1,348.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $832.00 / $887.00	Professional		$815.00	$832.00	$887.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $903.30 / $1,792.90	Professional		$5.00	$903.30	$1,792.90
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 $568.32 / $809.49 / $1,778.89	Professional		$568.32	$809.49	$1,778.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,855.00 / $21,551.95 / $26,542.00	Facility		$3,855.00	$21,551.95	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,962.56 / $4,962.56 / $5,917.88	Professional		$4,962.56	$4,962.56	$5,917.88