Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.95 / $1,461.17 / $7,439.00	Facility		$943.95	$1,461.17	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.95 / $993.81 / $1,837.14	Professional		$943.95	$993.81	$1,837.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $823.77 / $1,445.74 / $2,567.73	Professional		$823.77	$1,445.74	$2,567.73
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 $995.95 / $1,335.33 / $2,430.46	Professional		$995.95	$1,335.33	$2,430.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $943.95 / $1,272.00 / $1,862.25	Facility		$943.95	$1,272.00	$1,862.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,136.00 / $1,204.00 / $1,246.00	Professional		$1,136.00	$1,204.00	$1,246.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,264.00 / $2,318.90	Professional		$5.00	$1,264.00	$2,318.90
United Facility/Professional Facility Modifier Low / Median / High Price $8,917.00 / $20,562.00 / $28,286.00	Facility		$8,917.00	$20,562.00	$28,286.00
United Facility/Professional Professional Modifier Low / Median / High Price $805.52 / $1,126.34 / $2,348.92	Professional		$805.52	$1,126.34	$2,348.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,646.32 / $6,646.32	Facility		$55.00	$6,646.32	$6,646.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,975.92 / $6,975.92 / $8,316.45	Professional		$6,975.92	$6,975.92	$8,316.45