Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.93 / $1,410.00 / $12,615.00	Facility		$875.93	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $875.93 / $921.89 / $1,702.06	Professional		$875.93	$921.89	$1,702.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.78 / $1,370.90 / $2,357.23	Professional		$584.78	$1,370.90	$2,357.23
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 $973.30 / $1,265.86 / $2,237.48	Professional		$973.30	$1,265.86	$2,237.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $875.93 / $1,217.10 / $1,773.20	Facility		$875.93	$1,217.10	$1,773.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,080.17 / $1,109.00 / $1,160.00	Professional		$1,080.17	$1,109.00	$1,160.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,179.09 / $2,349.40	Professional		$4.00	$1,179.09	$2,349.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $749.10 / $1,045.69 / $2,169.12	Professional		$749.10	$1,045.69	$2,169.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,731.88 / $27,714.40	Facility		$55.00	$23,731.88	$27,714.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,294.58 / $7,294.58 / $7,740.23	Professional		$7,294.58	$7,294.58	$7,740.23