Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.28 / $6,497.00 / $7,723.10	Facility		$567.28	$6,497.00	$7,723.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.95 / $1,333.39 / $2,401.96	Professional		$335.95	$1,333.39	$2,401.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.13 / $2,352.26 / $4,275.58	Professional		$602.13	$2,352.26	$4,275.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.70 / $1,201.30 / $3,287.07	Professional		$471.70	$1,201.30	$3,287.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $337.67 / $1,535.43 / $2,841.30	Facility		$337.67	$1,535.43	$2,841.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,234.26 / $2,234.26 / $2,234.26	Professional		$2,234.26	$2,234.26	$2,234.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $457.10 / $457.10 / $457.10	Professional		$457.10	$457.10	$457.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,555.59 / $2,380.75 / $5,796.74	Professional		$1,555.59	$2,380.75	$5,796.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,383.09 / $2,383.09	Facility		$55.00	$2,383.09	$2,383.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,363.49 / $10,238.40 / $12,055.35	Professional		$5,363.49	$10,238.40	$12,055.35