Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.32 / $2,761.32 / $13,713.24	Facility		$942.32	$2,761.32	$13,713.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.32 / $988.19 / $1,755.66	Professional		$942.32	$988.19	$1,755.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,088.20 / $1,554.50 / $2,493.26	Professional		$1,088.20	$1,554.50	$2,493.26
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 $1,047.15 / $1,340.07 / $2,368.54	Professional		$1,047.15	$1,340.07	$2,368.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $942.32 / $1,258.00 / $1,907.73	Facility		$942.32	$1,258.00	$1,907.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,154.24 / $1,172.00 / $1,241.00	Professional		$1,154.24	$1,172.00	$1,241.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,261.20 / $2,491.69	Professional		$4.00	$1,261.20	$2,491.69
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 $826.94 / $1,218.64 / $2,587.28	Professional		$826.94	$1,218.64	$2,587.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,516.60 / $5,516.60	Facility		$55.00	$5,516.60	$5,516.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,945.68 / $6,945.68 / $8,280.83	Professional		$6,945.68	$6,945.68	$8,280.83