Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.55 / $1,615.00 / $7,439.00	Facility		$968.55	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.55 / $968.55 / $1,723.73	Professional		$968.55	$968.55	$1,723.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,115.31 / $1,806.02 / $2,856.78	Professional		$1,115.31	$1,806.02	$2,856.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,242.11 / $1,691.42 / $2,955.73	Professional		$1,242.11	$1,691.42	$2,955.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $968.55 / $1,423.45 / $2,376.86	Facility		$968.55	$1,423.45	$2,376.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,423.45 / $1,423.45 / $1,423.45	Professional		$1,423.45	$1,423.45	$1,423.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,504.00 / $1,504.00 / $1,504.00	Professional		$1,504.00	$1,504.00	$1,504.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,906.00 / $6,388.00	Facility		$1,064.00	$3,906.00	$6,388.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,018.51 / $1,510.41 / $3,780.51	Professional		$1,018.51	$1,510.41	$3,780.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,007.91 / $12,006.61	Facility		$55.00	$10,007.91	$12,006.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,338.08 / $8,338.08 / $8,388.60	Professional		$8,338.08	$8,338.08	$8,388.60