Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $6,918.31 / $12,022.64	Facility		$831.76	$6,918.31	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $1,621.81	Professional		$524.81	$660.69	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $3,630.78	Facility		$2,818.38	$3,235.94	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,513.56	Professional		$602.56	$812.83	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $3,388.44 / $5,623.41	Facility		$501.19	$3,388.44	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,380.38	Professional		$575.44	$794.33	$1,380.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $707.95 / $1,148.15	Facility		$537.03	$707.95	$1,148.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,047.13 / $1,258.93	Professional		$6.03	$1,047.13	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $6,025.60 / $16,982.44	Facility		$1,513.56	$6,025.60	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,122.02	Professional		$467.74	$630.96	$1,122.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $42,657.95	Facility		$16,595.87	$16,595.87	$42,657.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Professional		$8,511.38	$8,511.38	$8,511.38