Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.56 / $4,027.56 / $6,953.60	Facility		$427.56	$4,027.56	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $1,200.48 / $2,352.04	Professional		$375.10	$1,200.48	$2,352.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $565.19 / $1,484.38 / $3,332.91	Professional		$565.19	$1,484.38	$3,332.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.21 / $1,159.64 / $2,614.31	Professional		$443.21	$1,159.64	$2,614.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $375.10 / $1,386.81 / $2,252.96	Facility		$375.10	$1,386.81	$2,252.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,386.81 / $1,386.81 / $1,386.81	Professional		$1,386.81	$1,386.81	$1,386.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $555.39 / $1,692.16 / $2,040.00	Professional		$555.39	$1,692.16	$2,040.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,257.00	Facility		$3,366.00	$9,541.00	$14,257.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,153.60 / $1,802.37 / $3,301.09	Professional		$1,153.60	$1,802.37	$3,301.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,223.77 / $2,223.77 / $26,542.00	Facility		$2,223.77	$2,223.77	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,723.00 / $8,385.52 / $10,041.37	Professional		$5,723.00	$8,385.52	$10,041.37