Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.49 / $1,338.00 / $10,768.00	Facility		$560.49	$1,338.00	$10,768.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.49 / $591.54 / $1,051.33	Professional		$560.49	$591.54	$1,051.33
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.43 / $851.48 / $1,508.95	Professional		$477.43	$851.48	$1,508.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $1,438.74	Facility		$606.10	$606.10	$1,438.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.98 / $784.00 / $1,325.54	Professional		$586.98	$784.00	$1,325.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $560.49 / $694.43 / $1,069.38	Facility		$560.49	$694.43	$1,069.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $607.00 / $752.00	Professional		$579.00	$607.00	$752.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $768.10 / $1,590.60	Professional		$3.00	$768.10	$1,590.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $8,549.00 / $13,997.00	Facility		$2,629.00	$8,549.00	$13,997.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.00 / $689.37 / $1,549.32	Professional		$476.00	$689.37	$1,549.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,174.71 / $4,754.80 / $26,542.00	Facility		$2,174.71	$4,754.80	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,206.08 / $4,206.08 / $5,011.80	Professional		$4,206.08	$4,206.08	$5,011.80