Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.51 / $5,490.04 / $15,291.00	Facility		$497.51	$5,490.04	$15,291.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.10 / $4,554.03 / $7,539.59	Professional		$477.10	$4,554.03	$7,539.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $818.78 / $6,831.05 / $17,424.89	Professional		$818.78	$6,831.05	$17,424.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.10 / $1,687.18 / $12,864.80	Professional		$645.10	$1,687.18	$12,864.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $497.51 / $5,490.04 / $10,442.98	Facility		$497.51	$5,490.04	$10,442.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8,968.69 / $8,968.69 / $8,968.69	Professional		$8,968.69	$8,968.69	$8,968.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $696.25 / $6,756.15 / $9,088.03	Professional		$696.25	$6,756.15	$9,088.03
United Facility/Professional Facility Modifier Low / Median / High Price $14,079.00 / $28,743.00 / $59,455.00	Facility		$14,079.00	$28,743.00	$59,455.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,147.90 / $9,594.35 / $16,547.25	Professional		$6,147.90	$9,594.35	$16,547.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,944.08 / $3,944.08	Facility		$55.00	$3,944.08	$3,944.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $19,008.32 / $36,843.33 / $42,814.58	Professional		$19,008.32	$36,843.33	$42,814.58