Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.88 / $6,919.00 / $15,296.00	Facility		$763.88	$6,919.00	$15,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.59 / $6,604.94 / $11,748.83	Professional		$643.59	$6,604.94	$11,748.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.78 / $7,719.97 / $16,634.33	Professional		$1,157.78	$7,719.97	$16,634.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.84 / $2,300.26 / $14,226.57	Professional		$892.84	$2,300.26	$14,226.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $643.59 / $6,632.32 / $11,274.94	Facility		$643.59	$6,632.32	$11,274.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9,006.62 / $9,006.62 / $9,006.62	Professional		$9,006.62	$9,006.62	$9,006.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $882.60 / $1,145.73 / $10,666.30	Professional		$882.60	$1,145.73	$10,666.30
United Facility/Professional Facility Modifier Low / Median / High Price $9,301.90 / $19,963.00 / $28,286.00	Facility		$9,301.90	$19,963.00	$28,286.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,469.45 / $9,543.50 / $18,304.27	Professional		$6,469.45	$9,543.50	$18,304.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,265.95 / $10,265.95	Facility		$55.00	$10,265.95	$10,265.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $23,028.02 / $44,498.52 / $52,245.15	Professional		$23,028.02	$44,498.52	$52,245.15