Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.32 / $6,000.91 / $17,404.36	Facility		$684.32	$6,000.91	$17,404.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.03 / $1,702.48 / $4,377.81	Professional		$429.03	$1,702.48	$4,377.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.05 / $3,204.97 / $8,025.78	Professional		$761.05	$3,204.97	$8,025.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.92 / $1,503.04 / $7,404.84	Professional		$585.92	$1,503.04	$7,404.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $429.03 / $2,770.82 / $4,710.39	Facility		$429.03	$2,770.82	$4,710.39
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,167.71 / $5,608.70 / $9,794.23	Facility	50	$1,167.71	$5,608.70	$9,794.23
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $155.69 / $747.83 / $1,305.90	Facility	80	$155.69	$747.83	$1,305.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,739.13 / $3,739.13 / $3,739.13	Professional		$3,739.13	$3,739.13	$3,739.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $603.13 / $3,750.78 / $4,452.14	Professional		$603.13	$3,750.78	$4,452.14
United Facility/Professional Facility Modifier Low / Median / High Price $10,829.00 / $22,655.00 / $29,047.00	Facility		$10,829.00	$22,655.00	$29,047.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,837.42 / $4,257.29 / $7,754.39	Professional		$2,837.42	$4,257.29	$7,754.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,367.00 / $3,367.00	Facility		$55.00	$3,367.00	$3,367.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,721.42 / $18,488.33 / $21,924.98	Professional		$9,721.42	$18,488.33	$21,924.98