Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.70 / $1,635.00 / $10,561.00	Facility		$806.70	$1,635.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.70 / $806.70 / $1,304.83	Professional		$806.70	$806.70	$1,304.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $729.02 / $1,371.84 / $1,884.69	Professional		$729.02	$1,371.84	$1,884.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $871.50 / $1,260.50 / $2,060.75	Professional		$871.50	$1,260.50	$2,060.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $806.70 / $1,017.32 / $2,008.38	Facility		$806.70	$1,017.32	$2,008.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $968.77 / $968.77 / $1,964.97	Professional		$968.77	$968.77	$1,964.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,152.30 / $2,145.19	Professional		$7.00	$1,152.30	$2,145.19
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $743.46 / $1,060.79 / $2,215.42	Professional		$743.46	$1,060.79	$2,215.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,978.48 / $26,542.00 / $30,160.00	Facility		$5,978.48	$26,542.00	$30,160.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,865.20 / $5,865.20 / $6,839.33	Professional		$5,865.20	$5,865.20	$6,839.33