Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.70 / $1,245.00 / $8,413.00	Facility		$754.70	$1,245.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.70 / $794.59 / $1,466.80	Professional		$754.70	$794.59	$1,466.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,503.36 / $2,503.36 / $2,539.89	Facility		$2,503.36	$2,503.36	$2,539.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $949.39 / $1,640.02 / $2,175.14	Professional		$949.39	$1,640.02	$2,175.14
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 $864.14 / $1,251.59 / $1,934.92	Professional		$864.14	$1,251.59	$1,934.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $754.70 / $1,078.96 / $1,705.62	Facility		$754.70	$1,078.96	$1,705.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $959.00 / $1,000.00	Professional		$579.00	$959.00	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.60 / $1,173.82 / $1,284.89	Professional		$1,016.60	$1,173.82	$1,284.89
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 $682.24 / $1,044.44 / $2,013.46	Professional		$682.24	$1,044.44	$2,013.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,898.96 / $19,913.50 / $26,542.00	Facility		$2,898.96	$19,913.50	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,669.15 / $6,771.63 / $6,771.63	Professional		$6,669.15	$6,771.63	$6,771.63