Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.79 / $1,384.61 / $7,439.00	Facility		$867.79	$1,384.61	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $867.79 / $867.79 / $1,384.61	Professional		$867.79	$867.79	$1,384.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,109.08 / $1,625.78 / $2,457.34	Professional		$1,109.08	$1,625.78	$2,457.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,073.43 / $1,510.26 / $2,535.03	Professional		$1,073.43	$1,510.26	$2,535.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $867.79 / $1,260.90 / $2,139.78	Facility		$867.79	$1,260.90	$2,139.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,260.90 / $1,260.90 / $1,260.90	Professional		$1,260.90	$1,260.90	$1,260.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,101.09 / $1,101.09 / $1,101.09	Professional		$1,101.09	$1,101.09	$1,101.09
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $901.65 / $1,364.34 / $2,357.17	Professional		$901.65	$1,364.34	$2,357.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,277.12 / $13,856.55	Facility		$55.00	$3,277.12	$13,856.55
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,176.72 / $6,176.72 / $7,556.70	Professional		$6,176.72	$6,176.72	$7,556.70