Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.51 / $1,410.00 / $12,615.00	Facility		$872.51	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.51 / $917.94 / $1,730.86	Professional		$872.51	$917.94	$1,730.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,126.93 / $1,806.75 / $2,377.31	Professional		$1,126.93	$1,806.75	$2,377.31
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 $995.99 / $1,419.93 / $2,246.78	Professional		$995.99	$1,419.93	$2,246.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $872.51 / $1,352.99 / $1,971.87	Facility		$872.51	$1,352.99	$1,971.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,112.00 / $1,112.00 / $1,146.00	Professional		$1,112.00	$1,112.00	$1,146.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,259.04 / $2,375.00	Professional		$5.00	$1,259.04	$2,375.00
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 $791.14 / $1,197.83 / $2,172.61	Professional		$791.14	$1,197.83	$2,172.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,113.52 / $6,113.52	Facility		$55.00	$6,113.52	$6,113.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,862.66 / $6,862.66 / $7,657.13	Professional		$6,862.66	$6,862.66	$7,657.13