Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.88 / $1,245.00 / $8,413.00	Facility		$704.88	$1,245.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.88 / $742.04 / $1,318.16	Professional		$704.88	$742.04	$1,318.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $888.75 / $1,374.09 / $1,973.59	Professional		$888.75	$1,374.09	$1,973.59
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 $780.43 / $1,138.73 / $1,754.94	Professional		$780.43	$1,138.73	$1,754.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $704.88 / $1,040.49 / $1,593.03	Facility		$704.88	$1,040.49	$1,593.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $894.00 / $937.00	Professional		$579.00	$894.00	$937.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $953.40 / $1,801.70	Professional		$3.00	$953.40	$1,801.70
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 $636.23 / $969.35 / $1,744.15	Professional		$636.23	$969.35	$1,744.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,713.68 / $19,913.50 / $26,542.00	Facility		$2,713.68	$19,913.50	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,185.51 / $6,185.51 / $6,245.55	Professional		$6,185.51	$6,185.51	$6,245.55