Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.10 / $3,996.50 / $8,412.35	Facility		$897.10	$3,996.50	$8,412.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,684.54 / $3,684.54 / $5,264.75	Facility		$3,684.54	$3,684.54	$5,264.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $6,025.59	Facility		$606.10	$606.10	$6,025.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $897.10 / $1,166.23 / $1,649.73	Facility		$897.10	$1,166.23	$1,649.73
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $224.92 / $279.32 / $423.43	Facility	80	$224.92	$279.32	$423.43
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $157.44 / $195.52 / $283.83	Facility	AS	$157.44	$195.52	$283.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $13,888.09 / $13,888.09 / $13,888.09	Facility		$13,888.09	$13,888.09	$13,888.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,143.02 / $19,913.50 / $20,000.00	Facility		$5,143.02	$19,913.50	$20,000.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $208.36 / $1,134.79 / $1,887.52	Facility	AS	$208.36	$1,134.79	$1,887.52