Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.06 / $1,245.00 / $8,413.00	Facility		$704.06	$1,245.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.06 / $740.99 / $1,367.12	Professional		$704.06	$740.99	$1,367.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $805.26 / $1,126.25 / $1,905.56	Professional		$805.26	$1,126.25	$1,905.56
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 $790.96 / $1,012.42 / $1,800.57	Professional		$790.96	$1,012.42	$1,800.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $704.06 / $909.00 / $1,441.00	Facility		$704.06	$909.00	$1,441.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $891.00 / $936.00	Professional		$579.00	$891.00	$936.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $951.70 / $1,897.90	Professional		$5.00	$951.70	$1,897.90
United Facility/Professional Facility Modifier Low / Median / High Price $6,087.00 / $13,946.00 / $21,454.00	Facility		$6,087.00	$13,946.00	$21,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $618.24 / $859.95 / $1,742.72	Professional		$618.24	$859.95	$1,742.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,065.60 / $19,913.50 / $26,542.00	Facility		$4,065.60	$19,913.50	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,234.72 / $5,234.72 / $6,237.98	Professional		$5,234.72	$5,234.72	$6,237.98