Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.26 / $1,245.00 / $8,413.00	Facility		$750.26	$1,245.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.26 / $790.07 / $1,474.06	Professional		$750.26	$790.07	$1,474.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,665.09 / $3,665.09 / $3,718.57	Facility		$3,665.09	$3,665.09	$3,718.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $944.87 / $1,346.99 / $2,111.69	Professional		$944.87	$1,346.99	$2,111.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,710.28	Facility		$606.10	$606.10	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $859.70 / $1,253.13 / $1,921.88	Professional		$859.70	$1,253.13	$1,921.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $750.26 / $1,149.00 / $1,695.59	Facility		$750.26	$1,149.00	$1,695.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $947.00 / $996.00	Professional		$579.00	$947.00	$996.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,203.29 / $2,072.69	Professional		$3.00	$1,203.29	$2,072.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.33 / $1,049.41 / $2,000.52	Professional		$677.33	$1,049.41	$2,000.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,885.08 / $8,957.00 / $26,542.00	Facility		$2,885.08	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,490.90 / $6,490.90 / $6,638.18	Professional		$6,490.90	$6,490.90	$6,638.18