Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.45 / $1,389.49 / $8,413.00	Facility		$872.45	$1,389.49	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.45 / $924.32 / $2,050.26	Professional		$872.45	$924.32	$2,050.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,311.30 / $1,311.30 / $1,330.43	Facility		$1,311.30	$1,311.30	$1,330.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $928.27 / $1,623.98 / $2,270.48	Professional		$928.27	$1,623.98	$2,270.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,062.80	Facility		$606.10	$606.10	$2,062.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.74 / $1,251.82 / $2,254.39	Professional		$942.74	$1,251.82	$2,254.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $872.45 / $1,134.74 / $1,862.00	Facility		$872.45	$1,134.74	$1,862.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $1,108.00 / $1,108.00	Professional		$579.00	$1,108.00	$1,108.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,117.09 / $2,333.10	Professional		$3.00	$1,117.09	$2,333.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,733.00 / $5,919.00	Facility		$1,064.00	$3,733.00	$5,919.00
United Facility/Professional Professional Modifier Low / Median / High Price $745.68 / $1,036.78 / $2,309.36	Professional		$745.68	$1,036.78	$2,309.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,226.84 / $6,817.20 / $26,542.00	Facility		$3,226.84	$6,817.20	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,898.32 / $6,898.32 / $7,468.50	Professional		$6,898.32	$6,898.32	$7,468.50