Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.60 / $1,245.00 / $10,561.00	Facility		$651.60	$1,245.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.60 / $687.12 / $1,225.01	Professional		$651.60	$687.12	$1,225.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $827.51 / $1,258.41 / $1,898.07	Professional		$827.51	$1,258.41	$1,898.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $2,710.28	Facility		$748.70	$748.70	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.80 / $1,098.10 / $1,679.85	Professional		$748.80	$1,098.10	$1,679.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $651.60 / $940.67 / $1,512.86	Facility		$651.60	$940.67	$1,512.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $823.00 / $872.00	Professional		$716.00	$823.00	$872.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $887.10 / $1,023.13 / $1,119.94	Professional		$887.10	$1,023.13	$1,119.94
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 $588.67 / $919.25 / $1,776.85	Professional		$588.67	$919.25	$1,776.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,517.64 / $8,957.00 / $26,542.00	Facility		$2,517.64	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,780.40 / $6,128.61 / $6,128.61	Professional		$5,780.40	$6,128.61	$6,128.61