Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.27 / $1,245.00 / $7,439.00	Facility		$447.27	$1,245.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.27 / $447.27 / $735.60	Professional		$447.27	$447.27	$735.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.89 / $847.88 / $1,257.74	Professional		$325.89	$847.88	$1,257.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.67 / $777.00 / $1,334.37	Professional		$557.67	$777.00	$1,334.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $447.27 / $668.70 / $1,101.86	Facility		$447.27	$668.70	$1,101.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $668.70 / $668.70 / $668.70	Professional		$668.70	$668.70	$668.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $514.00 / $514.00 / $514.00	Professional		$514.00	$514.00	$514.00
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 $463.32 / $685.93 / $1,232.04	Professional		$463.32	$685.93	$1,232.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,689.44 / $9,011.04 / $16,394.00	Facility		$1,689.44	$9,011.04	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,184.72 / $3,184.72 / $3,898.35	Professional		$3,184.72	$3,184.72	$3,898.35