Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.42 / $4,234.39 / $7,993.00	Facility		$667.42	$4,234.39	$7,993.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.44 / $667.42 / $1,322.82	Professional		$447.44	$667.42	$1,322.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,704.83 / $1,704.83 / $1,729.70	Facility		$1,704.83	$1,704.83	$1,729.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.91 / $983.99 / $1,822.36	Professional		$648.91	$983.99	$1,822.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,710.28	Facility		$606.10	$606.10	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.69 / $848.46 / $1,475.00	Professional		$591.69	$848.46	$1,475.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $460.86 / $858.45 / $1,206.27	Facility		$460.86	$858.45	$1,206.27
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $103.00 / $211.19 / $265.98	Facility	80	$103.00	$211.19	$265.98
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $72.09 / $141.57 / $186.16	Facility	AS	$72.09	$141.57	$186.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $939.00 / $939.00	Professional		$579.00	$939.00	$939.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.39 / $828.45 / $1,111.49	Professional		$562.39	$828.45	$1,111.49
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 $609.78 / $846.52 / $1,837.95	Professional		$609.78	$846.52	$1,837.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,147.71 / $2,366.50 / $26,542.00	Facility		$2,147.71	$2,366.50	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $121.34 / $236.65 / $236.65	Facility	AS	$121.34	$236.65	$236.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,416.56 / $4,962.56 / $5,754.38	Professional		$3,416.56	$4,962.56	$5,754.38