Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.10 / $1,338.00 / $8,413.00	Facility		$566.10	$1,338.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.10 / $566.10 / $976.39	Professional		$566.10	$566.10	$976.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.45 / $1,052.03 / $1,645.15	Professional		$640.45	$1,052.03	$1,645.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.89 / $983.51 / $1,663.20	Professional		$734.89	$983.51	$1,663.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $566.10 / $830.19 / $1,442.36	Facility		$566.10	$830.19	$1,442.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $830.19 / $830.19 / $830.19	Professional		$830.19	$830.19	$830.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $966.00 / $966.00 / $966.00	Professional		$966.00	$966.00	$966.00
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 $577.50 / $894.58 / $1,592.01	Professional		$577.50	$894.58	$1,592.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,133.36 / $9,011.04 / $26,542.00	Facility		$2,133.36	$9,011.04	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,462.41 / $6,462.41 / $6,462.41	Professional		$6,462.41	$6,462.41	$6,462.41