Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.43 / $1,522.75 / $10,561.00	Facility		$964.43	$1,522.75	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.43 / $1,019.87 / $1,941.41	Professional		$964.43	$1,019.87	$1,941.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.87 / $2,226.87 / $2,259.36	Facility		$2,226.87	$2,226.87	$2,259.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,117.76 / $1,508.31 / $2,604.37	Professional		$1,117.76	$1,508.31	$2,604.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $6,025.59	Facility		$748.70	$748.70	$6,025.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.95 / $1,437.01 / $2,384.54	Professional		$1,025.95	$1,437.01	$2,384.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $964.43 / $1,245.89 / $1,999.19	Facility		$964.43	$1,245.89	$1,999.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $1,214.00 / $1,278.00	Professional		$716.00	$1,214.00	$1,278.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,298.92 / $1,434.85 / $1,638.61	Professional		$1,298.92	$1,434.85	$1,638.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $9,447.00 / $14,257.00	Facility		$2,629.00	$9,447.00	$14,257.00
United Facility/Professional Professional Modifier Low / Median / High Price $822.87 / $1,191.25 / $2,619.71	Professional		$822.87	$1,191.25	$2,619.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,696.60 / $19,913.50 / $26,542.00	Facility		$3,696.60	$19,913.50	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,334.98 / $7,334.98 / $8,514.00	Professional		$7,334.98	$7,334.98	$8,514.00