Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.96 / $760.58 / $7,439.00	Facility		$461.96	$760.58	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.96 / $461.96 / $790.87	Professional		$461.96	$461.96	$790.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.11 / $864.24 / $1,345.94	Professional		$628.11	$864.24	$1,345.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.54 / $798.95 / $1,360.11	Professional		$597.54	$798.95	$1,360.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $461.96 / $691.00 / $1,287.89	Facility		$461.96	$691.00	$1,287.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.23 / $676.23 / $676.23	Professional		$676.23	$676.23	$676.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $811.10 / $811.10 / $811.10	Professional		$811.10	$811.10	$811.10
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 $472.98 / $706.56 / $1,264.33	Professional		$472.98	$706.56	$1,264.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,810.85 / $5,798.65	Facility		$55.00	$4,810.85	$5,798.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,076.00 / $5,076.00 / $5,098.60	Professional		$5,076.00	$5,076.00	$5,098.60