Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.24 / $1,615.00 / $10,561.00	Facility		$471.24	$1,615.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.24 / $471.24 / $805.37	Professional		$471.24	$471.24	$805.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.14 / $774.83 / $1,300.10	Professional		$466.14	$774.83	$1,300.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.57 / $757.05 / $1,302.83	Professional		$529.57	$757.05	$1,302.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $471.24 / $617.08 / $1,120.93	Facility		$471.24	$617.08	$1,120.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $617.08 / $617.08 / $617.08	Professional		$617.08	$617.08	$617.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $656.70 / $656.70 / $656.70	Professional		$656.70	$656.70	$656.70
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 $465.20 / $643.96 / $1,281.63	Professional		$465.20	$643.96	$1,281.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,128.79 / $12,909.30 / $26,542.00	Facility		$3,128.79	$12,909.30	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,387.04 / $7,387.04 / $7,387.04	Professional		$7,387.04	$7,387.04	$7,387.04