Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.93 / $689.00 / $5,449.00	Facility		$171.93	$689.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.17 / $507.99 / $907.99	Professional		$483.17	$507.99	$907.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $930.58 / $1,274.58	Professional		$517.50	$930.58	$1,274.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,438.74	Facility		$395.75	$395.75	$1,438.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.06 / $668.11 / $1,198.24	Professional		$506.06	$668.11	$1,198.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $483.17 / $617.00 / $945.32	Facility		$483.17	$617.00	$945.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $585.00 / $652.00	Professional		$378.00	$585.00	$652.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $667.60 / $761.98 / $834.08	Professional		$667.60	$761.98	$834.08
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,733.00 / $6,543.00	Facility		$900.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.64 / $581.10 / $1,391.94	Professional		$405.64	$581.10	$1,391.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,880.68 / $4,754.80 / $12,000.00	Facility		$1,880.68	$4,754.80	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,644.24 / $3,644.24 / $4,336.95	Professional		$3,644.24	$3,644.24	$4,336.95