Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.99 / $1,615.00 / $10,561.00	Facility		$596.99	$1,615.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.41 / $612.52 / $1,044.25	Professional		$589.41	$612.52	$1,044.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,725.95 / $2,998.55 / $5,088.43	Facility		$2,725.95	$2,998.55	$5,088.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.20 / $1,081.93 / $1,554.30	Professional		$686.20	$1,081.93	$1,554.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $1,432.77 / $2,702.90	Facility		$515.00	$1,432.77	$2,702.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.41 / $927.64 / $1,576.48	Professional		$668.41	$927.64	$1,576.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $596.99 / $791.06 / $1,158.99	Facility		$596.99	$791.06	$1,158.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $756.00 / $1,523.53	Professional		$718.00	$756.00	$1,523.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $727.70 / $873.10 / $1,412.30	Professional		$727.70	$873.10	$1,412.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,461.00 / $2,081.00 / $15,712.00	Facility		$1,461.00	$2,081.00	$15,712.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.10 / $744.07 / $1,450.30	Professional		$545.10	$744.07	$1,450.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,371.58 / $7,909.30 / $26,542.00	Facility		$3,371.58	$7,909.30	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,901.04 / $5,901.04 / $5,901.04	Professional		$5,901.04	$5,901.04	$5,901.04