Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.93 / $1,410.00 / $12,615.00	Facility		$792.93	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.93 / $833.45 / $1,514.82	Professional		$792.93	$833.45	$1,514.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,790.43 / $5,790.43 / $5,874.92	Facility		$5,790.43	$5,790.43	$5,874.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $929.72 / $1,282.79 / $2,092.82	Professional		$929.72	$1,282.79	$2,092.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $25,359.21	Facility		$852.10	$852.10	$25,359.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $877.48 / $1,133.47 / $1,996.91	Professional		$877.48	$1,133.47	$1,996.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $792.93 / $976.00 / $1,613.83	Facility		$792.93	$976.00	$1,613.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $1,003.00 / $1,056.00	Professional		$815.00	$1,003.00	$1,056.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,073.00 / $2,094.00	Professional		$3.00	$1,073.00	$2,094.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,153.00 / $21,463.00 / $29,047.00	Facility		$8,153.00	$21,463.00	$29,047.00
United Facility/Professional Professional Modifier Low / Median / High Price $697.34 / $977.95 / $2,157.16	Professional		$697.34	$977.95	$2,157.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,051.84 / $73,150.19 / $83,807.64	Facility		$3,051.84	$73,150.19	$83,807.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,919.36 / $5,919.36 / $7,008.15	Professional		$5,919.36	$5,919.36	$7,008.15