Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.19 / $1,245.00 / $7,362.00	Facility		$476.19	$1,245.00	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.19 / $476.19 / $800.20	Professional		$476.19	$476.19	$800.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $672.93 / $874.81 / $1,398.06	Professional		$672.93	$874.81	$1,398.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.70 / $819.66 / $1,340.02	Professional		$578.70	$819.66	$1,340.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $476.19 / $679.76 / $1,206.06	Facility		$476.19	$679.76	$1,206.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $679.76 / $679.76 / $1,209.98	Professional		$679.76	$679.76	$1,209.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $696.30 / $1,195.30	Professional		$7.00	$696.30	$1,195.30
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.01 / $665.28 / $1,464.04	Professional		$483.01	$665.28	$1,464.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,569.76 / $9,388.90	Facility		$55.00	$3,569.76	$9,388.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,531.36 / $3,531.36 / $4,016.10	Professional		$3,531.36	$3,531.36	$4,016.10