Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.26 / $1,245.00 / $5,449.00	Facility		$373.26	$1,245.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.26 / $845.51 / $1,364.98	Professional		$373.26	$845.51	$1,364.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.09 / $2,726.58 / $7,463.22	Professional		$479.09	$2,726.58	$7,463.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $852.11 / $1,419.48	Facility		$606.10	$852.11	$1,419.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.45 / $996.51 / $3,956.06	Professional		$449.45	$996.51	$3,956.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $373.26 / $995.92 / $3,722.94	Facility		$373.26	$995.92	$3,722.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,107.11 / $1,166.76 / $3,722.94	Professional		$1,107.11	$1,166.76	$3,722.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,042.50 / $8,058.50	Professional		$5.00	$2,042.50	$8,058.50
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $1,208.00 / $9,324.00	Facility		$773.00	$1,208.00	$9,324.00
United Facility/Professional Professional Modifier Low / Median / High Price $906.71 / $2,460.33 / $5,355.80	Professional		$906.71	$2,460.33	$5,355.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,591.34 / $2,591.34	Facility		$55.00	$2,591.34	$2,591.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,765.60 / $14,184.47 / $15,571.33	Professional		$4,765.60	$14,184.47	$15,571.33