Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,288.25 / $7,585.78	Facility		$660.69	$1,288.25	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,659.59	Professional		$588.84	$724.44	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $1,737.80	Professional		$676.08	$1,148.15	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,148.15 / $2,754.23	Facility		$501.19	$1,148.15	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,584.89	Professional		$645.65	$891.25	$1,584.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $812.83 / $1,288.25	Facility		$616.60	$812.83	$1,288.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $1,445.44	Professional		$724.44	$1,202.26	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,128.61 / $14,125.38	Facility		$1,148.15	$5,128.61	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,258.93	Professional		$537.03	$707.95	$1,258.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $28,840.32	Facility		$9,549.93	$9,549.93	$28,840.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $5,754.40	Professional		$4,786.30	$4,786.30	$5,754.40