Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.54 / $1,338.00 / $8,413.00	Facility		$521.54	$1,338.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.54 / $521.54 / $766.85	Professional		$521.54	$521.54	$766.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.79 / $1,116.15 / $1,544.63	Professional		$637.79	$1,116.15	$1,544.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.39 / $918.46 / $1,581.04	Professional		$679.39	$918.46	$1,581.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $521.54 / $744.10 / $1,121.98	Facility		$521.54	$744.10	$1,121.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $744.10 / $744.10 / $744.10	Professional		$744.10	$744.10	$744.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $749.70 / $749.70 / $749.70	Professional		$749.70	$749.70	$749.70
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.82 / $767.02 / $1,453.47	Professional		$539.82	$767.02	$1,453.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,952.16 / $9,011.04	Facility		$55.00	$1,952.16	$9,011.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,698.16 / $4,503.89 / $4,503.89	Professional		$3,698.16	$4,503.89	$4,503.89