Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.93 / $1,245.00 / $8,413.00	Facility		$722.93	$1,245.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.72 / $762.03 / $1,351.39	Professional		$687.72	$762.03	$1,351.39
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 $781.42 / $1,313.94 / $1,957.33	Professional		$781.42	$1,313.94	$1,957.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $6,025.59	Facility		$606.10	$606.10	$6,025.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.99 / $1,018.32 / $1,850.36	Professional		$786.99	$1,018.32	$1,850.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $722.93 / $985.00 / $1,443.50	Facility		$722.93	$985.00	$1,443.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $903.00 / $960.00	Professional		$579.00	$903.00	$960.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,160.28 / $1,945.60	Professional		$5.00	$1,160.28	$1,945.60
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 $618.26 / $887.17 / $1,929.92	Professional		$618.26	$887.17	$1,929.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,172.93 / $19,913.50 / $26,542.00	Facility		$4,172.93	$19,913.50	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,371.84 / $5,371.84 / $6,402.30	Professional		$5,371.84	$5,371.84	$6,402.30