Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.26 / $825.97 / $7,278.00	Facility		$347.26	$825.97	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.26 / $521.00 / $847.99	Professional		$347.26	$521.00	$847.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.73 / $744.83 / $1,323.19	Professional		$442.73	$744.83	$1,323.19
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 $424.21 / $636.26 / $1,151.40	Professional		$424.21	$636.26	$1,151.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $353.67 / $625.20 / $918.46	Facility		$353.67	$625.20	$918.46
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $65.66 / $108.92 / $139.37	Facility	AS	$65.66	$108.92	$139.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $685.00 / $685.00	Professional		$507.00	$685.00	$685.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $682.50 / $1,472.20	Professional		$3.00	$682.50	$1,472.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $453.64 / $642.38 / $1,299.39	Professional		$453.64	$642.38	$1,299.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,613.84 / $1,784.58 / $16,394.00	Facility		$1,613.84	$1,784.58	$16,394.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $91.04 / $178.46 / $178.46	Facility	AS	$91.04	$178.46	$178.46
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,561.84 / $3,888.48 / $4,347.30	Professional		$2,561.84	$3,888.48	$4,347.30