Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.09 / $3,427.20 / $15,153.63	Facility		$810.09	$3,427.20	$15,153.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.88 / $904.51 / $1,717.72	Professional		$574.88	$904.51	$1,717.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,112.83 / $2,112.83 / $3,018.97	Facility		$2,112.83	$2,112.83	$3,018.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $836.43 / $1,311.91 / $2,148.96	Professional		$836.43	$1,311.91	$2,148.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $7,683.50	Facility		$852.10	$852.10	$7,683.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.74 / $1,097.50 / $2,133.21	Professional		$755.74	$1,097.50	$2,133.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $592.13 / $1,076.77 / $1,576.40	Facility		$592.13	$1,076.77	$1,576.40
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $203.60 / $217.26 / $352.78	Facility	80	$203.60	$217.26	$352.78
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $142.52 / $152.08 / $245.95	Facility	AS	$142.52	$152.08	$245.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $1,259.00 / $1,291.00	Professional		$815.00	$1,259.00	$1,291.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.91 / $1,190.21 / $1,637.79	Professional		$724.91	$1,190.21	$1,637.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $10,622.00 / $14,257.00	Facility		$2,629.00	$10,622.00	$14,257.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.81 / $1,135.35 / $2,689.57	Professional		$819.81	$1,135.35	$2,689.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,764.60 / $3,035.06 / $26,542.00	Facility		$2,764.60	$3,035.06	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $156.26 / $303.51 / $303.51	Facility	AS	$156.26	$303.51	$303.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,137.00 / $7,255.04 / $8,417.25	Professional		$5,137.00	$7,255.04	$8,417.25