Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.39 / $1,245.00 / $8,413.00	Facility		$831.39	$1,245.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.11 / $831.39 / $1,542.40	Professional		$716.11	$831.39	$1,542.40
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 $938.80 / $1,286.51 / $2,142.28	Professional		$938.80	$1,286.51	$2,142.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,710.28	Facility		$606.10	$606.10	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.34 / $1,177.08 / $1,958.15	Professional		$872.34	$1,177.08	$1,958.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $831.39 / $1,054.07 / $1,644.69	Facility		$831.39	$1,054.07	$1,644.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $976.00 / $1,083.00	Professional		$579.00	$976.00	$1,083.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,112.09 / $2,115.90	Professional		$3.00	$1,112.09	$2,115.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $674.56 / $972.71 / $1,951.47	Professional		$674.56	$972.71	$1,951.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,117.36 / $8,957.00 / $26,542.00	Facility		$3,117.36	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,045.52 / $6,045.52 / $7,198.73	Professional		$6,045.52	$6,045.52	$7,198.73