Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.82 / $2,292.57 / $12,247.00	Facility		$432.82	$2,292.57	$12,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.93 / $2,104.09 / $3,110.01	Professional		$408.93	$2,104.09	$3,110.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.68 / $2,587.23 / $5,867.83	Professional		$701.68	$2,587.23	$5,867.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.84 / $1,445.90 / $4,791.47	Professional		$552.84	$1,445.90	$4,791.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $432.82 / $2,292.57 / $3,897.37	Facility		$432.82	$2,292.57	$3,897.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,018.44 / $3,018.44 / $3,018.44	Professional		$3,018.44	$3,018.44	$3,018.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $603.34 / $2,898.64 / $3,722.30	Professional		$603.34	$2,898.64	$3,722.30
United Facility/Professional Facility Modifier Low / Median / High Price $9,118.18 / $21,453.00 / $28,898.00	Facility		$9,118.18	$21,453.00	$28,898.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,208.23 / $3,260.97 / $6,286.36	Professional		$2,208.23	$3,260.97	$6,286.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,427.97 / $3,427.97	Facility		$55.00	$3,427.97	$3,427.97
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,054.86 / $15,435.28 / $18,182.84	Professional		$8,054.86	$15,435.28	$18,182.84