Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.71 / $1,338.00 / $8,413.00	Facility		$644.71	$1,338.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.71 / $644.71 / $1,092.23	Professional		$644.71	$644.71	$1,092.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.92 / $1,108.39 / $1,763.84	Professional		$425.92	$1,108.39	$1,763.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.14 / $967.96 / $1,783.04	Professional		$681.14	$967.96	$1,783.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $644.71 / $819.23 / $1,538.38	Facility		$644.71	$819.23	$1,538.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $777.66 / $777.66 / $777.66	Professional		$777.66	$777.66	$777.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $880.60 / $880.60 / $880.60	Professional		$880.60	$880.60	$880.60
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $14,893.00 / $22,265.00	Facility		$6,688.00	$14,893.00	$22,265.00
United Facility/Professional Professional Modifier Low / Median / High Price $586.16 / $818.15 / $1,752.60	Professional		$586.16	$818.15	$1,752.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $9,826.56 / $17,070.15 / $26,542.00	Facility		$9,826.56	$17,070.15	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,296.80 / $5,296.80 / $5,684.70	Professional		$5,296.80	$5,296.80	$5,684.70