Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.68 / $1,490.01 / $7,439.00	Facility		$888.68	$1,490.01	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.68 / $888.68 / $1,592.78	Professional		$888.68	$888.68	$1,592.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,158.27 / $1,623.36 / $2,502.69	Professional		$1,158.27	$1,623.36	$2,502.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $959.72 / $1,519.55 / $2,541.56	Professional		$959.72	$1,519.55	$2,541.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $888.68 / $1,304.98 / $2,086.02	Facility		$888.68	$1,304.98	$2,086.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,304.98 / $1,304.98 / $1,304.98	Professional		$1,304.98	$1,304.98	$1,304.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,129.50 / $1,129.50 / $1,129.50	Professional		$1,129.50	$1,129.50	$1,129.50
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 $921.32 / $1,343.54 / $2,462.08	Professional		$921.32	$1,343.54	$2,462.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,184.12 / $11,013.31	Facility		$55.00	$9,184.12	$11,013.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,283.76 / $6,283.76 / $7,696.95	Professional		$6,283.76	$6,283.76	$7,696.95