Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.38 / $1,082.35 / $7,439.00	Facility		$694.38	$1,082.35	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.38 / $694.38 / $1,199.83	Professional		$694.38	$694.38	$1,199.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,011.80 / $1,361.52 / $2,051.30	Professional		$1,011.80	$1,361.52	$2,051.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.44 / $1,204.17 / $1,922.83	Professional		$849.44	$1,204.17	$1,922.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $694.38 / $934.25 / $1,738.94	Facility		$694.38	$934.25	$1,738.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $932.18 / $932.18 / $1,831.61	Professional		$932.18	$932.18	$1,831.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,410.20 / $1,775.50	Professional		$15.00	$1,410.20	$1,775.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $689.24 / $971.78 / $1,965.12	Professional		$689.24	$971.78	$1,965.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,559.52 / $12,777.60	Facility		$55.00	$10,559.52	$12,777.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,761.84 / $7,761.84 / $7,761.84	Professional		$7,761.84	$7,761.84	$7,761.84