Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.99 / $1,245.00 / $8,413.00	Facility		$643.99	$1,245.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.62 / $678.26 / $1,250.02	Professional		$612.62	$678.26	$1,250.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.92 / $947.33 / $1,690.86	Professional		$631.92	$947.33	$1,690.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $1,438.74	Facility		$606.10	$606.10	$1,438.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.59 / $890.53 / $1,641.19	Professional		$654.59	$890.53	$1,641.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $643.99 / $815.00 / $1,211.48	Facility		$643.99	$815.00	$1,211.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $808.00 / $860.00	Professional		$579.00	$808.00	$860.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $875.70 / $1,695.70	Professional		$4.00	$875.70	$1,695.70
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 $545.38 / $763.54 / $1,552.09	Professional		$545.38	$763.54	$1,552.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,110.25 / $4,754.80 / $26,542.00	Facility		$3,110.25	$4,754.80	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,807.28 / $4,807.28 / $5,730.38	Professional		$4,807.28	$4,807.28	$5,730.38