Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.48 / $1,245.00 / $8,413.00	Facility		$606.48	$1,245.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.48 / $638.85 / $1,139.51	Professional		$606.48	$638.85	$1,139.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.88 / $961.73 / $1,632.83	Professional		$490.88	$961.73	$1,632.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.39 / $712.39 / $712.39	Professional		$712.39	$712.39	$712.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $606.48 / $839.33 / $1,233.15	Facility		$606.48	$839.33	$1,233.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $761.00 / $809.00	Professional		$579.00	$761.00	$809.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $823.90 / $1,631.80	Professional		$4.00	$823.90	$1,631.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $527.60 / $770.35 / $1,495.56	Professional		$527.60	$770.35	$1,495.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,925.95 / $19,913.50 / $26,542.00	Facility		$2,925.95	$19,913.50	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,523.12 / $4,523.12 / $5,390.33	Professional		$4,523.12	$4,523.12	$5,390.33