Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.61 / $1,245.00 / $10,561.00	Facility		$611.61	$1,245.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.26 / $647.16 / $1,298.55	Professional		$535.26	$647.16	$1,298.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,221.47 / $3,221.47 / $4,603.08	Facility		$3,221.47	$3,221.47	$4,603.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.40 / $953.72 / $1,661.98	Professional		$683.40	$953.72	$1,661.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $2,710.28	Facility		$748.70	$748.70	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.84 / $865.01 / $1,569.09	Professional		$648.84	$865.01	$1,569.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $611.61 / $821.76 / $1,211.44	Facility		$611.61	$821.76	$1,211.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $779.00 / $826.00	Professional		$716.00	$779.00	$826.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $841.80 / $967.76 / $1,059.33	Professional		$841.80	$967.76	$1,059.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.98 / $727.97 / $1,515.03	Professional		$519.98	$727.97	$1,515.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,377.16 / $8,957.00 / $26,542.00	Facility		$2,377.16	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,633.92 / $4,633.92 / $5,456.03	Professional		$4,633.92	$4,633.92	$5,456.03