Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.93 / $1,670.82 / $8,413.00	Facility		$174.93	$1,670.82	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $1,670.82 / $2,290.67	Professional		$166.05	$1,670.82	$2,290.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.32 / $2,840.10 / $5,570.13	Professional		$293.32	$2,840.10	$5,570.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.31 / $1,540.82 / $4,383.97	Professional		$227.31	$1,540.82	$4,383.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $174.93 / $1,670.82 / $3,181.66	Facility		$174.93	$1,670.82	$3,181.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,817.57 / $2,817.57 / $2,817.57	Professional		$2,817.57	$2,817.57	$2,817.57
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $4,226.35 / $4,226.35 / $4,226.35	Professional	50	$4,226.35	$4,226.35	$4,226.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $247.58 / $307.41 / $2,719.40	Professional		$247.58	$307.41	$2,719.40
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 $1,916.04 / $2,983.24 / $4,919.92	Professional		$1,916.04	$2,983.24	$4,919.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,186.85 / $1,186.85	Facility		$55.00	$1,186.85	$1,186.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,895.90 / $11,282.72 / $13,386.90	Professional		$5,895.90	$11,282.72	$13,386.90