Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.13 / $1,943.02 / $15,260.00	Facility		$270.13	$1,943.02	$15,260.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.13 / $1,475.39 / $2,710.21	Professional		$270.13	$1,475.39	$2,710.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.07 / $2,244.69 / $4,492.84	Professional		$475.07	$2,244.69	$4,492.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.60 / $951.75 / $4,034.79	Professional		$369.60	$951.75	$4,034.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $278.70 / $1,667.19 / $4,066.86	Facility		$278.70	$1,667.19	$4,066.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,404.21 / $2,404.21 / $2,404.21	Professional		$2,404.21	$2,404.21	$2,404.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $386.79 / $484.13 / $2,186.13	Professional		$386.79	$484.13	$2,186.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,736.00 / $13,997.00	Facility		$3,500.00	$8,736.00	$13,997.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,671.67 / $2,546.50 / $4,229.84	Professional		$1,671.67	$2,546.50	$4,229.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,868.10 / $1,868.10	Facility		$55.00	$1,868.10	$1,868.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,155.66 / $12,104.72 / $13,893.51	Professional		$5,155.66	$12,104.72	$13,893.51