Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.06 / $1,615.00 / $13,713.25	Facility		$694.06	$1,615.00	$13,713.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.06 / $731.16 / $1,348.73	Professional		$694.06	$731.16	$1,348.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,503.36 / $2,503.36 / $2,539.89	Facility		$2,503.36	$2,503.36	$2,539.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $828.94 / $1,200.16 / $1,767.59	Professional		$828.94	$1,200.16	$1,767.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $2,710.28	Facility		$530.04	$530.04	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.82 / $1,012.26 / $1,777.64	Professional		$778.82	$1,012.26	$1,777.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $694.06 / $971.68 / $1,637.98	Facility		$694.06	$971.68	$1,637.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $865.00 / $922.00	Professional		$507.00	$865.00	$922.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $938.50 / $1,641.70	Professional		$4.00	$938.50	$1,641.70
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 $589.85 / $830.42 / $1,718.26	Professional		$589.85	$830.42	$1,718.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,340.35 / $8,957.00 / $16,394.00	Facility		$3,340.35	$8,957.00	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,911.53 / $6,911.53 / $6,911.53	Professional		$6,911.53	$6,911.53	$6,911.53