Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.94 / $1,410.00 / $12,615.00	Facility		$806.94	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.94 / $849.30 / $1,574.42	Professional		$806.94	$849.30	$1,574.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.50 / $3,185.50 / $3,231.98	Facility		$3,185.50	$3,185.50	$3,231.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $895.82 / $1,250.85 / $2,181.36	Professional		$895.82	$1,250.85	$2,181.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $11,384.53	Facility		$852.10	$852.10	$11,384.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $845.16 / $1,137.99 / $2,070.38	Professional		$845.16	$1,137.99	$2,070.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $806.94 / $979.92 / $1,579.27	Facility		$806.94	$979.92	$1,579.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $1,027.00 / $1,070.00	Professional		$815.00	$1,027.00	$1,070.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.59 / $1,255.71 / $1,461.93	Professional		$1,086.59	$1,255.71	$1,461.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.61 / $952.37 / $2,002.66	Professional		$691.61	$952.37	$2,002.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,876.40 / $32,839.36 / $37,623.85	Facility		$3,876.40	$32,839.36	$37,623.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,019.94 / $6,019.94 / $7,134.60	Professional		$6,019.94	$6,019.94	$7,134.60