Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.85 / $910.83 / $6,953.60	Facility		$660.85	$910.83	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.38 / $671.44 / $1,101.47	Professional		$617.38	$671.44	$1,101.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.25 / $1,008.37 / $1,620.03	Professional		$694.25	$1,008.37	$1,620.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $518.28 / $35,600.00	Facility		$0.71	$518.28	$35,600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.91 / $927.46 / $1,671.67	Professional		$652.91	$927.46	$1,671.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $759.04 / $1,146.02	Facility		$650.00	$759.04	$1,146.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $726.30 / $759.04 / $1,714.27	Professional		$726.30	$759.04	$1,714.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $674.10 / $804.90 / $1,381.40	Professional		$674.10	$804.90	$1,381.40
United Facility/Professional Facility Modifier Low / Median / High Price $301.00 / $661.00 / $4,877.00	Facility		$301.00	$661.00	$4,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.48 / $728.70 / $1,738.44	Professional		$545.48	$728.70	$1,738.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,774.06 / $4,589.93	Facility		$55.00	$3,774.06	$4,589.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,789.28 / $4,789.28 / $5,827.20	Professional		$4,789.28	$4,789.28	$5,827.20