Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.54 / $1,245.00 / $10,561.00	Facility		$577.54	$1,245.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.54 / $608.57 / $1,129.14	Professional		$577.54	$608.57	$1,129.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.54 / $918.84 / $1,553.83	Professional		$515.54	$918.84	$1,553.83
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 $635.33 / $815.19 / $1,465.70	Professional		$635.33	$815.19	$1,465.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $577.54 / $780.00 / $1,253.00	Facility		$577.54	$780.00	$1,253.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $702.97 / $728.00 / $772.00	Professional		$702.97	$728.00	$772.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $787.90 / $1,552.80	Professional		$4.00	$787.90	$1,552.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,347.00 / $8,736.00 / $13,997.00	Facility		$3,347.00	$8,736.00	$13,997.00
United Facility/Professional Professional Modifier Low / Median / High Price $496.67 / $729.11 / $1,421.65	Professional		$496.67	$729.11	$1,421.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,792.95 / $8,957.00 / $26,542.00	Facility		$2,792.95	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,231.33 / $9,231.33 / $9,231.33	Professional		$9,231.33	$9,231.33	$9,231.33