Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.89 / $1,410.00 / $12,615.00	Facility		$652.89	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.89 / $686.96 / $1,219.93	Professional		$652.89	$686.96	$1,219.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.07 / $1,333.21 / $1,898.89	Professional		$735.07	$1,333.21	$1,898.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.95 / $927.85 / $1,676.06	Professional		$694.95	$927.85	$1,676.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $652.89 / $812.06 / $1,316.15	Facility		$652.89	$812.06	$1,316.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $812.06 / $818.00 / $867.00	Professional		$812.06	$818.00	$867.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $880.20 / $1,761.10	Professional		$4.00	$880.20	$1,761.10
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 $559.16 / $777.68 / $1,619.14	Professional		$559.16	$777.68	$1,619.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,851.40 / $3,851.40	Facility		$55.00	$3,851.40	$3,851.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,992.93 / $4,992.93 / $5,779.05	Professional		$4,992.93	$4,992.93	$5,779.05