Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.05 / $1,615.00 / $10,453.00	Facility		$451.05	$1,615.00	$10,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.05 / $600.71 / $1,011.38	Professional		$451.05	$600.71	$1,011.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.23 / $1,179.15 / $1,626.16	Professional		$686.23	$1,179.15	$1,626.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.36 / $871.08 / $1,530.85	Professional		$578.36	$871.08	$1,530.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $451.05 / $756.19 / $1,290.23	Facility		$451.05	$756.19	$1,290.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $761.43 / $761.43 / $1,537.73	Professional		$761.43	$761.43	$1,537.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $742.10 / $1,610.90	Professional		$5.00	$742.10	$1,610.90
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 $603.73 / $818.20 / $1,710.99	Professional		$603.73	$818.20	$1,710.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,213.06 / $3,213.06 / $26,542.00	Facility		$3,213.06	$3,213.06	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,413.12 / $4,460.56 / $5,134.80	Professional		$3,413.12	$4,460.56	$5,134.80