Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.42 / $1,245.00 / $8,413.00	Facility		$638.42	$1,245.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.42 / $672.28 / $1,193.92	Professional		$638.42	$672.28	$1,193.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.63 / $1,269.92 / $1,722.12	Professional		$718.63	$1,269.92	$1,722.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $7,837.89	Facility		$606.10	$606.10	$7,837.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.85 / $908.04 / $1,624.99	Professional		$694.85	$908.04	$1,624.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $638.42 / $799.00 / $1,273.09	Facility		$638.42	$799.00	$1,273.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $800.00 / $851.00	Professional		$579.00	$800.00	$851.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,026.20 / $1,716.50	Professional		$4.00	$1,026.20	$1,716.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $9,447.00 / $14,257.00	Facility		$2,629.00	$9,447.00	$14,257.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.60 / $756.67 / $1,574.08	Professional		$543.60	$756.67	$1,574.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,079.70 / $25,902.85 / $26,542.00	Facility		$3,079.70	$25,902.85	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,759.92 / $4,759.92 / $5,673.60	Professional		$4,759.92	$4,759.92	$5,673.60