Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.72 / $1,635.00 / $10,561.00	Facility		$490.72	$1,635.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.72 / $490.72 / $684.21	Professional		$490.72	$490.72	$684.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $715.04 / $1,089.41 / $1,537.74	Professional		$715.04	$1,089.41	$1,537.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.41 / $848.87 / $1,486.41	Professional		$638.41	$848.87	$1,486.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $464.22 / $715.04 / $1,025.59	Facility		$464.22	$715.04	$1,025.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $715.04 / $715.04 / $715.04	Professional		$715.04	$715.04	$715.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $696.13 / $696.13 / $768.02	Professional		$696.13	$696.13	$768.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,736.00 / $13,997.00	Facility		$3,500.00	$8,736.00	$13,997.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.94 / $805.51 / $2,048.96	Professional		$512.94	$805.51	$2,048.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,304.60 / $13,911.50	Facility		$55.00	$2,304.60	$13,911.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,510.32 / $4,244.10 / $4,244.10	Professional		$3,510.32	$4,244.10	$4,244.10