Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.23 / $6,953.60 / $11,986.00	Facility		$602.23	$6,953.60	$11,986.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.23 / $624.87 / $1,143.08	Professional		$602.23	$624.87	$1,143.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.50 / $3,185.50 / $3,231.98	Facility		$3,185.50	$3,185.50	$3,231.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.79 / $1,249.93 / $1,650.70	Professional		$732.79	$1,249.93	$1,650.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $9,124.62	Facility		$852.10	$852.10	$9,124.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.09 / $884.80 / $1,509.58	Professional		$688.09	$884.80	$1,509.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.23 / $761.53 / $1,283.15	Facility		$602.23	$761.53	$1,283.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $761.00 / $761.00 / $926.00	Professional		$761.00	$761.00	$926.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $941.90 / $1,566.70	Professional		$3.00	$941.90	$1,566.70
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 $520.49 / $734.19 / $1,501.91	Professional		$520.49	$734.19	$1,501.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,682.12 / $26,542.00 / $30,155.25	Facility		$2,682.12	$26,542.00	$30,155.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,679.29 / $7,679.29 / $7,679.29	Professional		$7,679.29	$7,679.29	$7,679.29