Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.12 / $1,338.00 / $8,413.00	Facility		$864.12	$1,338.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.12 / $864.12 / $1,737.44	Professional		$864.12	$864.12	$1,737.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $986.19 / $1,479.28 / $2,253.48	Professional		$986.19	$1,479.28	$2,253.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $877.72 / $1,299.03 / $2,209.42	Professional		$877.72	$1,299.03	$2,209.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $864.12 / $1,057.74 / $2,162.23	Facility		$864.12	$1,057.74	$2,162.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,029.08 / $1,029.08 / $2,112.21	Professional		$1,029.08	$1,029.08	$2,112.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,133.59 / $2,289.00	Professional		$5.00	$1,133.59	$2,289.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,437.46 / $9,447.00 / $14,589.00	Facility		$2,437.46	$9,447.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $800.55 / $1,087.32 / $2,373.08	Professional		$800.55	$1,087.32	$2,373.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,799.10 / $9,011.04 / $26,542.00	Facility		$4,799.10	$9,011.04	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,691.93 / $6,691.93 / $7,312.65	Professional		$6,691.93	$6,691.93	$7,312.65