Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.45 / $1,245.00 / $8,413.00	Facility		$389.45	$1,245.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.45 / $389.45 / $620.79	Professional		$389.45	$389.45	$620.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.90 / $701.20 / $1,101.81	Professional		$575.90	$701.20	$1,101.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.67 / $661.96 / $1,121.20	Professional		$491.67	$661.96	$1,121.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $369.63 / $551.63 / $813.95	Facility		$369.63	$551.63	$813.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $551.63 / $551.63 / $551.63	Professional		$551.63	$551.63	$551.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $555.94 / $555.94 / $613.35	Professional		$555.94	$555.94	$613.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.37 / $584.64 / $1,175.00	Professional		$396.37	$584.64	$1,175.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,937.52 / $11,082.10	Facility		$55.00	$2,937.52	$11,082.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,804.16 / $3,381.60 / $3,381.60	Professional		$2,804.16	$3,381.60	$3,381.60