Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.76 / $1,181.00 / $7,439.00	Facility		$620.76	$1,181.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.76 / $653.86 / $1,161.13	Professional		$620.76	$653.86	$1,161.13
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 $720.75 / $983.28 / $1,673.38	Professional		$720.75	$983.28	$1,673.38
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 $691.37 / $884.50 / $1,554.50	Professional		$691.37	$884.50	$1,554.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $620.76 / $734.52 / $1,263.11	Facility		$620.76	$734.52	$1,263.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $739.00 / $827.00	Professional		$507.00	$739.00	$827.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $842.60 / $1,645.90	Professional		$4.00	$842.60	$1,645.90
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 $529.25 / $736.86 / $1,532.53	Professional		$529.25	$736.86	$1,532.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,993.75 / $8,957.00 / $16,394.00	Facility		$2,993.75	$8,957.00	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,627.52 / $4,627.52 / $5,514.60	Professional		$4,627.52	$4,627.52	$5,514.60