Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.27 / $1,271.26 / $7,439.00	Facility		$805.27	$1,271.26	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.27 / $805.27 / $1,401.46	Professional		$805.27	$805.27	$1,401.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,169.32 / $1,584.33 / $2,280.76	Professional		$1,169.32	$1,584.33	$2,280.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.88 / $1,305.77 / $2,207.39	Professional		$915.88	$1,305.77	$2,207.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $805.27 / $1,120.35 / $1,977.76	Facility		$805.27	$1,120.35	$1,977.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,120.35 / $1,120.35 / $1,120.35	Professional		$1,120.35	$1,120.35	$1,120.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $890.16 / $965.29 / $1,399.62	Professional		$890.16	$965.29	$1,399.62
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 $825.81 / $1,156.69 / $2,242.78	Professional		$825.81	$1,156.69	$2,242.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,961.68 / $3,770.65	Facility		$55.00	$1,961.68	$3,770.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,057.00 / $10,057.00 / $10,057.00	Professional		$10,057.00	$10,057.00	$10,057.00