Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.34 / $1,615.00 / $10,561.00	Facility		$687.34	$1,615.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.34 / $687.34 / $1,141.80	Professional		$687.34	$687.34	$1,141.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.08 / $1,127.73 / $1,568.03	Professional		$561.08	$1,127.73	$1,568.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.14 / $1,024.13 / $1,750.71	Professional		$688.14	$1,024.13	$1,750.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $660.00 / $824.81 / $1,680.79	Facility		$660.00	$824.81	$1,680.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $786.95 / $786.95 / $1,655.81	Professional		$786.95	$786.95	$1,655.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $862.00 / $1,853.10	Professional		$5.00	$862.00	$1,853.10
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 $602.13 / $848.45 / $2,065.41	Professional		$602.13	$848.45	$2,065.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,808.44 / $16,547.20 / $26,542.00	Facility		$3,808.44	$16,547.20	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,630.84 / $6,630.84 / $6,630.84	Professional		$6,630.84	$6,630.84	$6,630.84