Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.15 / $1,181.00 / $7,439.00	Facility		$559.15	$1,181.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.15 / $589.02 / $1,048.09	Professional		$559.15	$589.02	$1,048.09
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 $494.49 / $875.40 / $1,502.83	Professional		$494.49	$875.40	$1,502.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $2,710.28	Facility		$530.04	$530.04	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.86 / $808.42 / $1,416.34	Professional		$597.86	$808.42	$1,416.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $559.15 / $728.51 / $1,132.18	Facility		$559.15	$728.51	$1,132.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $689.00 / $747.00	Professional		$507.00	$689.00	$747.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $762.30 / $1,493.10	Professional		$5.00	$762.30	$1,493.10
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 $480.54 / $682.10 / $1,496.78	Professional		$480.54	$682.10	$1,496.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,242.88 / $8,957.00 / $16,394.00	Facility		$3,242.88	$8,957.00	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,332.49 / $4,332.49 / $4,980.53	Professional		$4,332.49	$4,332.49	$4,980.53