Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.08 / $1,615.00 / $7,439.00	Facility		$961.08	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.08 / $961.08 / $1,647.39	Professional		$961.08	$961.08	$1,647.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,352.85 / $1,863.50 / $2,715.94	Professional		$1,352.85	$1,863.50	$2,715.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.43 / $1,647.58 / $2,782.99	Professional		$1,200.43	$1,647.58	$2,782.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $961.08 / $1,391.39 / $2,360.10	Facility		$961.08	$1,391.39	$2,360.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,391.39 / $1,391.39 / $1,391.39	Professional		$1,391.39	$1,391.39	$1,391.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.70 / $1,242.70 / $1,242.70	Professional		$1,242.70	$1,242.70	$1,242.70
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 $995.67 / $1,467.30 / $2,594.62	Professional		$995.67	$1,467.30	$2,594.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,617.20 / $13,856.55	Facility		$55.00	$3,617.20	$13,856.55
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,805.92 / $6,805.92 / $8,339.18	Professional		$6,805.92	$6,805.92	$8,339.18