Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.85 / $1,545.47 / $12,615.00	Facility		$981.85	$1,545.47	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.85 / $1,032.96 / $1,908.75	Professional		$981.85	$1,032.96	$1,908.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $889.32 / $1,542.19 / $2,648.80	Professional		$889.32	$1,542.19	$2,648.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $11,384.53	Facility		$852.10	$852.10	$11,384.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.17 / $1,419.74 / $2,516.31	Professional		$1,109.17	$1,419.74	$2,516.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $981.85 / $1,250.00 / $1,992.84	Facility		$981.85	$1,250.00	$1,992.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $1,230.00 / $1,297.00	Professional		$815.00	$1,230.00	$1,297.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,316.20 / $2,643.90	Professional		$4.00	$1,316.20	$2,643.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $867.18 / $1,224.53 / $2,436.92	Professional		$867.18	$1,224.53	$2,436.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,703.00 / $32,839.36 / $37,623.85	Facility		$4,703.00	$32,839.36	$37,623.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,258.48 / $7,258.48 / $8,653.28	Professional		$7,258.48	$7,258.48	$8,653.28