Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.01 / $1,338.00 / $10,768.00	Facility		$625.01	$1,338.00	$10,768.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.01 / $658.21 / $1,170.08	Professional		$625.01	$658.21	$1,170.08
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 $685.11 / $966.48 / $1,692.92	Professional		$685.11	$966.48	$1,692.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,710.28	Facility		$606.10	$606.10	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.38 / $883.20 / $1,604.38	Professional		$649.38	$883.20	$1,604.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $625.01 / $811.06 / $1,154.90	Facility		$625.01	$811.06	$1,154.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $765.52 / $782.00 / $835.00	Professional		$765.52	$782.00	$835.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $850.30 / $1,683.20	Professional		$3.00	$850.30	$1,683.20
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 $533.96 / $748.84 / $1,511.01	Professional		$533.96	$748.84	$1,511.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,420.32 / $8,957.00 / $20,000.00	Facility		$2,420.32	$8,957.00	$20,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,673.52 / $4,673.52 / $5,572.20	Professional		$4,673.52	$4,673.52	$5,572.20