Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.59 / $1,245.00 / $8,413.00	Facility		$587.59	$1,245.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.59 / $618.97 / $1,099.51	Professional		$587.59	$618.97	$1,099.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.97 / $924.96 / $1,580.38	Professional		$674.97	$924.96	$1,580.38
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 $637.75 / $826.85 / $1,492.27	Professional		$637.75	$826.85	$1,492.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $587.59 / $803.46 / $1,172.43	Facility		$587.59	$803.46	$1,172.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $726.00 / $783.00	Professional		$579.00	$726.00	$783.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $798.40 / $1,573.60	Professional		$4.00	$798.40	$1,573.60
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 $510.60 / $704.08 / $1,570.21	Professional		$510.60	$704.08	$1,570.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,833.25 / $19,913.50 / $26,542.00	Facility		$2,833.25	$19,913.50	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,382.16 / $4,382.16 / $5,219.39	Professional		$4,382.16	$4,382.16	$5,219.39