Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.10 / $5,611.88 / $9,939.52	Facility		$694.10	$5,611.88	$9,939.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,297.06 / $2,297.06 / $2,330.58	Facility		$2,297.06	$2,297.06	$2,330.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,710.28	Facility		$606.10	$606.10	$2,710.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $529.91 / $797.73 / $1,250.60	Facility		$529.91	$797.73	$1,250.60
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $139.87 / $187.20 / $255.00	Facility	80	$139.87	$187.20	$255.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $97.91 / $131.04 / $178.50	Facility	AS	$97.91	$131.04	$178.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,121.04 / $4,121.04 / $4,121.04	Facility		$4,121.04	$4,121.04	$4,121.04
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
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,067.32 / $8,957.00 / $26,542.00	Facility		$3,067.32	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $124.84 / $510.42 / $849.00	Facility	AS	$124.84	$510.42	$849.00