Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.50 / $1,410.00 / $12,615.00	Facility		$769.50	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.50 / $810.06 / $1,508.94	Professional		$769.50	$810.06	$1,508.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,932.72 / $3,932.72 / $5,619.37	Facility		$3,932.72	$3,932.72	$5,619.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $900.32 / $1,273.18 / $2,066.92	Professional		$900.32	$1,273.18	$2,066.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $8,667.11	Facility		$852.10	$852.10	$8,667.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.36 / $1,120.21 / $1,958.72	Professional		$849.36	$1,120.21	$1,958.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $769.50 / $952.49 / $1,581.00	Facility		$769.50	$952.49	$1,581.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $963.00 / $1,022.00	Professional		$815.00	$963.00	$1,022.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,039.90 / $2,068.90	Professional		$3.00	$1,039.90	$2,068.90
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 $666.90 / $949.39 / $2,054.41	Professional		$666.90	$949.39	$2,054.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,960.76 / $26,542.00 / $28,643.25	Facility		$2,960.76	$26,542.00	$28,643.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,864.72 / $5,864.72 / $6,813.90	Professional		$5,864.72	$5,864.72	$6,813.90