Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.82 / $1,410.00 / $12,615.00	Facility		$768.82	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.82 / $809.24 / $1,535.20	Professional		$768.82	$809.24	$1,535.20
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 $890.74 / $1,266.66 / $2,080.46	Professional		$890.74	$1,266.66	$2,080.46
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 $842.58 / $1,093.06 / $1,992.82	Professional		$842.58	$1,093.06	$1,992.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $768.82 / $953.11 / $1,535.04	Facility		$768.82	$953.11	$1,535.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $953.11 / $976.00 / $1,021.00	Professional		$953.11	$976.00	$1,021.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,038.30 / $2,070.10	Professional		$3.00	$1,038.30	$2,070.10
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 $674.59 / $911.78 / $2,094.87	Professional		$674.59	$911.78	$2,094.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,817.95 / $8,957.00	Facility		$55.00	$7,817.95	$8,957.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,714.40 / $5,714.40 / $6,813.60	Professional		$5,714.40	$5,714.40	$6,813.60