Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.46 / $903.00 / $7,362.00	Facility		$524.46	$903.00	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.46 / $552.74 / $980.97	Professional		$524.46	$552.74	$980.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.86 / $815.27 / $1,404.38	Professional		$467.86	$815.27	$1,404.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,438.74	Facility		$395.75	$395.75	$1,438.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.47 / $758.82 / $1,324.78	Professional		$572.47	$758.82	$1,324.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.46 / $636.37 / $1,046.02	Facility		$524.46	$636.37	$1,046.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $658.00 / $701.00	Professional		$378.00	$658.00	$701.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $715.60 / $1,404.10	Professional		$3.00	$715.60	$1,404.10
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,733.00 / $6,543.00	Facility		$900.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.03 / $658.29 / $1,400.92	Professional		$456.03	$658.29	$1,400.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,027.80 / $4,754.80 / $12,000.00	Facility		$2,027.80	$4,754.80	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,920.96 / $3,920.96 / $4,672.35	Professional		$3,920.96	$3,920.96	$4,672.35