Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.33 / $1,245.00 / $12,615.00	Facility		$537.33	$1,245.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.85 / $566.46 / $1,006.68	Professional		$494.85	$566.46	$1,006.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,503.36 / $2,503.36 / $2,539.89	Facility		$2,503.36	$2,503.36	$2,539.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.54 / $801.03 / $1,429.73	Professional		$584.54	$801.03	$1,429.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $2,710.28	Facility		$852.10	$852.10	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.78 / $744.37 / $1,360.44	Professional		$551.78	$744.37	$1,360.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $537.33 / $685.70 / $1,010.89	Facility		$537.33	$685.70	$1,010.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $624.25 / $667.00 / $852.00	Professional		$624.25	$667.00	$852.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $737.00 / $1,422.30	Professional		$4.00	$737.00	$1,422.30
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 $455.69 / $659.47 / $1,463.01	Professional		$455.69	$659.47	$1,463.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,606.00 / $8,957.00 / $26,542.00	Facility		$2,606.00	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,033.28 / $4,033.28 / $4,805.10	Professional		$4,033.28	$4,033.28	$4,805.10