Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.90 / $6,984.50 / $13,695.00	Facility		$1,514.90	$6,984.50	$13,695.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $508.37 / $508.37 / $757.45	Facility	52	$508.37	$508.37	$757.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.79 / $1,016.74 / $1,839.59	Professional		$907.79	$1,016.74	$1,839.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,175.85 / $1,553.11 / $2,851.59	Professional		$1,175.85	$1,553.11	$2,851.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,062.54 / $1,553.81 / $2,599.50	Professional		$1,062.54	$1,553.81	$2,599.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,016.00 / $1,220.08 / $2,541.87	Facility		$1,016.00	$1,220.08	$2,541.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,208.00 / $1,208.00 / $2,482.11	Professional		$1,208.00	$1,208.00	$2,482.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,460.16 / $2,181.19	Professional		$5.00	$1,460.16	$2,181.19
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $11,617.00 / $17,964.00	Facility		$5,293.00	$11,617.00	$17,964.00
United Facility/Professional Professional Modifier Low / Median / High Price $941.79 / $1,287.50 / $2,902.10	Professional		$941.79	$1,287.50	$2,902.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,641.26 / $16,547.20 / $26,542.00	Facility		$5,641.26	$16,547.20	$26,542.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $1,871.70 / $12,547.52 / $12,547.52	Facility	52	$1,871.70	$12,547.52	$12,547.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,671.04 / $7,671.04 / $8,607.75	Professional		$7,671.04	$7,671.04	$8,607.75