Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.73 / $1,338.00 / $8,413.00	Facility		$560.73	$1,338.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.73 / $560.73 / $971.65	Professional		$560.73	$560.73	$971.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $754.18 / $1,030.48 / $1,742.60	Professional		$754.18	$1,030.48	$1,742.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.72 / $988.54 / $1,629.13	Professional		$722.72	$988.54	$1,629.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $560.73 / $982.89 / $1,391.00	Facility		$560.73	$982.89	$1,391.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $830.62 / $830.62 / $830.62	Professional		$830.62	$830.62	$830.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $950.30 / $950.30 / $950.30	Professional		$950.30	$950.30	$950.30
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 $613.89 / $876.05 / $1,576.86	Professional		$613.89	$876.05	$1,576.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,113.60 / $9,011.04 / $26,542.00	Facility		$2,113.60	$9,011.04	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,505.85 / $4,505.85 / $4,873.80	Professional		$4,505.85	$4,505.85	$4,873.80