Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.30 / $1,615.00 / $12,615.00	Facility		$904.30	$1,615.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.30 / $904.30 / $1,672.87	Professional		$904.30	$904.30	$1,672.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,084.02 / $1,516.19 / $2,162.48	Professional		$1,084.02	$1,516.19	$2,162.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.51 / $1,432.46 / $2,586.01	Professional		$982.51	$1,432.46	$2,586.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $872.23 / $1,085.16 / $2,278.25	Facility		$872.23	$1,085.16	$2,278.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,082.66 / $1,082.66 / $2,180.69	Professional		$1,082.66	$1,082.66	$2,180.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $963.70 / $2,471.69	Professional		$6.00	$963.70	$2,471.69
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 $832.11 / $1,150.65 / $2,830.99	Professional		$832.11	$1,150.65	$2,830.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,985.07 / $16,547.20 / $26,542.00	Facility		$5,985.07	$16,547.20	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,299.54 / $7,299.54 / $7,873.20	Professional		$7,299.54	$7,299.54	$7,873.20