Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.88 / $1,615.00 / $12,615.00	Facility		$788.88	$1,615.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.88 / $788.88 / $1,236.97	Professional		$788.88	$788.88	$1,236.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.85 / $1,310.78 / $2,010.37	Professional		$873.85	$1,310.78	$2,010.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.80 / $1,175.43 / $2,015.34	Professional		$789.80	$1,175.43	$2,015.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $933.29 / $1,928.92	Facility		$780.00	$933.29	$1,928.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $896.06 / $896.06 / $1,918.66	Professional		$896.06	$896.06	$1,918.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $939.30 / $2,120.50	Professional		$5.00	$939.30	$2,120.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.60 / $937.37 / $2,175.63	Professional		$686.60	$937.37	$2,175.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,288.92 / $5,329.68 / $26,542.00	Facility		$4,288.92	$5,329.68	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,612.80 / $5,612.80 / $6,554.18	Professional		$5,612.80	$5,612.80	$6,554.18