Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.88 / $1,615.00 / $7,278.00	Facility		$149.88	$1,615.00	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $1,450.20 / $2,839.13	Professional		$142.43	$1,450.20	$2,839.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.78 / $2,553.65 / $4,296.46	Professional		$255.78	$2,553.65	$4,296.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.96 / $1,249.70 / $3,441.64	Professional		$194.96	$1,249.70	$3,441.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $149.88 / $1,450.20 / $2,613.89	Facility		$149.88	$1,450.20	$2,613.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,211.41 / $2,211.41 / $2,211.41	Professional		$2,211.41	$2,211.41	$2,211.41
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $3,317.12 / $3,317.12 / $3,317.12	Professional	50	$3,317.12	$3,317.12	$3,317.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $179.41 / $1,574.04 / $2,257.60	Professional		$179.41	$1,574.04	$2,257.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $3,733.00 / $6,097.00	Facility		$1,258.00	$3,733.00	$6,097.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,587.16 / $2,341.77 / $4,199.43	Professional		$1,587.16	$2,341.77	$4,199.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $703.52 / $703.52	Facility		$55.00	$703.52	$703.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,827.16 / $9,721.28 / $10,857.23	Professional		$4,827.16	$9,721.28	$10,857.23