Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.75 / $1,338.00 / $8,413.00	Facility		$365.75	$1,338.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.43 / $386.88 / $644.40	Professional		$365.43	$386.88	$644.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,540.11 / $3,894.12 / $6,608.20	Facility		$3,540.11	$3,894.12	$6,608.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.43 / $899.91 / $1,202.52	Professional		$490.43	$899.91	$1,202.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.89 / $7,637.91 / $12,723.49	Facility		$428.89	$7,637.91	$12,723.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.21 / $640.58 / $1,086.78	Professional		$436.21	$640.58	$1,086.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $365.75 / $581.00 / $816.33	Facility		$365.75	$581.00	$816.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $536.00 / $1,592.00 / $2,489.23	Professional		$536.00	$1,592.00	$2,489.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $538.90 / $640.10 / $877.60	Professional		$538.90	$640.10	$877.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,717.00 / $2,647.00 / $18,665.00	Facility		$1,717.00	$2,647.00	$18,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $361.96 / $489.18 / $1,027.91	Professional		$361.96	$489.18	$1,027.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,707.10 / $26,542.00 / $37,231.85	Facility		$1,707.10	$26,542.00	$37,231.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,845.22 / $2,845.22 / $3,054.00	Professional		$2,845.22	$2,845.22	$3,054.00