Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.57 / $1,615.00 / $10,561.00	Facility		$725.57	$1,615.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.01 / $734.70 / $1,130.50	Professional		$681.01	$734.70	$1,130.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.33 / $1,343.34 / $1,816.84	Professional		$815.33	$1,343.34	$1,816.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $1,958.30 / $3,266.42	Facility		$515.00	$1,958.30	$3,266.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.36 / $1,058.20 / $1,870.88	Professional		$759.36	$1,058.20	$1,870.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $725.57 / $893.30 / $1,304.20	Facility		$725.57	$893.30	$1,304.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $756.00 / $1,494.25	Professional		$718.00	$756.00	$1,494.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $838.70 / $1,104.49 / $1,408.50	Professional		$838.70	$1,104.49	$1,408.50
United Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $1,557.00 / $11,999.00	Facility		$902.00	$1,557.00	$11,999.00
United Facility/Professional Professional Modifier Low / Median / High Price $619.23 / $841.06 / $1,793.84	Professional		$619.23	$841.06	$1,793.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,517.52 / $9,558.29 / $26,542.00	Facility		$5,517.52	$9,558.29	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,228.32 / $5,228.32 / $6,382.95	Professional		$5,228.32	$5,228.32	$6,382.95