Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.54 / $1,245.00 / $7,362.00	Facility		$546.54	$1,245.00	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.54 / $546.54 / $972.06	Professional		$546.54	$546.54	$972.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $604.53 / $1,049.70 / $1,604.66	Professional		$604.53	$1,049.70	$1,604.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.67 / $940.35 / $1,540.94	Professional		$664.67	$940.35	$1,540.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $546.54 / $779.98 / $1,385.14	Facility		$546.54	$779.98	$1,385.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $779.98 / $779.98 / $1,387.93	Professional		$779.98	$779.98	$1,387.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $962.20 / $1,371.20	Professional		$7.00	$962.20	$1,371.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,994.00 / $7,275.43	Facility		$1,728.00	$3,994.00	$7,275.43
United Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $781.05 / $1,680.97	Professional		$558.46	$781.05	$1,680.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,095.84 / $27,110.45	Facility		$55.00	$4,095.84	$27,110.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,049.52 / $4,049.52 / $4,608.75	Professional		$4,049.52	$4,049.52	$4,608.75