Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.25 / $1,245.00 / $10,561.00	Facility		$564.25	$1,245.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.25 / $594.55 / $1,056.83	Professional		$564.25	$594.55	$1,056.83
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 $482.72 / $868.50 / $1,511.43	Professional		$482.72	$868.50	$1,511.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $2,710.28	Facility		$748.70	$748.70	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.14 / $797.52 / $1,430.60	Professional		$610.14	$797.52	$1,430.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $564.25 / $768.28 / $1,126.92	Facility		$564.25	$768.28	$1,126.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $680.50 / $710.00 / $753.00	Professional		$680.50	$710.00	$753.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $767.90 / $1,503.60	Professional		$5.00	$767.90	$1,503.60
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 $480.11 / $668.55 / $1,390.22	Professional		$480.11	$668.55	$1,390.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,269.16 / $8,957.00 / $26,542.00	Facility		$3,269.16	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,212.72 / $4,212.72 / $5,019.83	Professional		$4,212.72	$4,212.72	$5,019.83