Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.96 / $934.40 / $7,439.00	Facility		$631.96	$934.40	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.20 / $631.96 / $934.40	Professional		$608.20	$631.96	$934.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.15 / $1,064.39 / $1,692.23	Professional		$587.15	$1,064.39	$1,692.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.66 / $985.31 / $1,740.10	Professional		$714.66	$985.31	$1,740.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $631.96 / $829.18 / $1,385.37	Facility		$631.96	$829.18	$1,385.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $823.70 / $823.70 / $823.70	Professional		$823.70	$823.70	$823.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $769.90 / $769.90 / $769.90	Professional		$769.90	$769.90	$769.90
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 $611.91 / $885.98 / $1,778.36	Professional		$611.91	$885.98	$1,778.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,628.80 / $11,421.25	Facility		$55.00	$2,628.80	$11,421.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,322.59 / $4,322.59 / $4,847.55	Professional		$4,322.59	$4,322.59	$4,847.55