Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.26 / $1,338.00 / $8,413.00	Facility		$473.26	$1,338.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.26 / $473.26 / $835.59	Professional		$473.26	$473.26	$835.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.14 / $1,013.23 / $1,253.04	Professional		$647.14	$1,013.23	$1,253.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.48 / $806.71 / $1,331.24	Professional		$573.48	$806.71	$1,331.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $473.26 / $703.00 / $1,188.86	Facility		$473.26	$703.00	$1,188.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $643.73 / $643.73 / $643.73	Professional		$643.73	$643.73	$643.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $845.70 / $845.70 / $845.70	Professional		$845.70	$845.70	$845.70
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 $475.52 / $686.13 / $1,353.63	Professional		$475.52	$686.13	$1,353.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,793.48 / $9,388.90 / $26,542.00	Facility		$1,793.48	$9,388.90	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,840.47 / $3,840.47 / $4,054.28	Professional		$3,840.47	$3,840.47	$4,054.28