Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.49 / $1,410.00 / $12,615.00	Facility		$456.49	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.49 / $481.91 / $856.29	Professional		$456.49	$481.91	$856.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.10 / $696.81 / $1,210.98	Professional		$495.10	$696.81	$1,210.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $6,025.59	Facility		$852.10	$852.10	$6,025.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.95 / $625.21 / $1,162.01	Professional		$461.95	$625.21	$1,162.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $456.49 / $589.11 / $872.81	Facility		$456.49	$589.11	$872.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $523.39 / $575.00 / $852.00	Professional		$523.39	$575.00	$852.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $625.29 / $1,216.70	Professional		$4.00	$625.29	$1,216.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.88 / $536.36 / $1,100.06	Professional		$386.88	$536.36	$1,100.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,214.00 / $19,913.50 / $26,542.00	Facility		$2,214.00	$19,913.50	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,424.48 / $3,424.48 / $4,081.80	Professional		$3,424.48	$3,424.48	$4,081.80