Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.61 / $1,338.00 / $8,413.00	Facility		$464.61	$1,338.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.61 / $464.61 / $819.54	Professional		$464.61	$464.61	$819.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.64 / $851.86 / $1,376.14	Professional		$468.64	$851.86	$1,376.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.39 / $797.47 / $1,281.29	Professional		$557.39	$797.47	$1,281.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $464.61 / $671.00 / $1,176.18	Facility		$464.61	$671.00	$1,176.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $637.07 / $637.07 / $1,232.04	Professional		$637.07	$637.07	$1,232.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $516.16 / $658.73 / $1,168.70	Professional		$516.16	$658.73	$1,168.70
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 $472.09 / $665.45 / $1,472.01	Professional		$472.09	$665.45	$1,472.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,259.36 / $13,486.75	Facility		$55.00	$5,259.36	$13,486.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,317.52 / $3,317.52 / $4,042.13	Professional		$3,317.52	$3,317.52	$4,042.13