Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.17 / $6,275.00 / $15,260.00	Facility		$692.17	$6,275.00	$15,260.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.13 / $1,517.81 / $3,379.99	Professional		$418.13	$1,517.81	$3,379.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.05 / $2,054.50 / $5,776.94	Professional		$711.05	$2,054.50	$5,776.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.17 / $1,522.42 / $4,699.82	Professional		$551.17	$1,522.42	$4,699.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $446.56 / $2,008.42 / $4,842.25	Facility		$446.56	$2,008.42	$4,842.25
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,291.01 / $5,563.10 / $7,263.38	Facility	50	$1,291.01	$5,563.10	$7,263.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,983.23 / $2,983.23 / $2,983.23	Professional		$2,983.23	$2,983.23	$2,983.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $583.32 / $2,200.14 / $2,810.26	Professional		$583.32	$2,200.14	$2,810.26
United Facility/Professional Facility Modifier Low / Median / High Price $6,492.00 / $14,174.00 / $22,265.00	Facility		$6,492.00	$14,174.00	$22,265.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,021.38 / $3,158.88 / $5,116.92	Professional		$2,021.38	$3,158.88	$5,116.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,320.66 / $3,320.66	Facility		$55.00	$3,320.66	$3,320.66
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,149.90 / $14,461.34 / $16,544.48	Professional		$6,149.90	$14,461.34	$16,544.48