Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $970.55 / $4,375.00 / $10,768.00	Facility		$970.55	$4,375.00	$10,768.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $970.55 / $1,016.41 / $1,810.38	Professional		$970.55	$1,016.41	$1,810.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,176.98 / $1,677.91 / $2,805.15	Professional		$1,176.98	$1,677.91	$2,805.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $18,604.07	Facility		$748.70	$748.70	$18,604.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,112.04 / $1,422.23 / $2,509.21	Professional		$1,112.04	$1,422.23	$2,509.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $970.55 / $1,237.00 / $2,037.39	Facility		$970.55	$1,237.00	$2,037.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $1,237.00 / $1,284.00	Professional		$716.00	$1,237.00	$1,284.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,440.11 / $2,641.40	Professional		$4.00	$1,440.11	$2,641.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,317.00 / $14,893.00 / $22,265.00	Facility		$4,317.00	$14,893.00	$22,265.00
United Facility/Professional Professional Modifier Low / Median / High Price $833.40 / $1,234.61 / $2,353.63	Professional		$833.40	$1,234.61	$2,353.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,655.80 / $53,664.56 / $61,483.10	Facility		$4,655.80	$53,664.56	$61,483.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,184.88 / $7,184.88 / $8,565.37	Professional		$7,184.88	$7,184.88	$8,565.37