Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.64 / $1,245.00 / $8,413.00	Facility		$275.64	$1,245.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.64 / $1,172.60 / $1,572.39	Professional		$275.64	$1,172.60	$1,572.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.76 / $1,870.12 / $2,930.50	Professional		$446.76	$1,870.12	$2,930.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.74 / $919.43 / $2,406.84	Professional		$345.74	$919.43	$2,406.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $275.64 / $1,325.05 / $2,078.79	Facility		$275.64	$1,325.05	$2,078.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,358.66 / $1,358.66 / $1,358.66	Professional		$1,358.66	$1,358.66	$1,358.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,844.10 / $1,844.10 / $1,844.10	Professional		$1,844.10	$1,844.10	$1,844.10
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 $1,051.95 / $1,630.52 / $4,471.57	Professional		$1,051.95	$1,630.52	$4,471.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,715.70 / $1,715.70 / $26,542.00	Facility		$1,715.70	$1,715.70	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,905.06 / $9,242.56 / $11,029.05	Professional		$4,905.06	$9,242.56	$11,029.05