Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.38 / $1,615.00 / $12,615.00	Facility		$914.38	$1,615.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.38 / $914.38 / $1,613.19	Professional		$914.38	$914.38	$1,613.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,291.60 / $1,644.85 / $2,386.28	Professional		$1,291.60	$1,644.85	$2,386.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.84 / $1,559.68 / $2,493.23	Professional		$1,038.84	$1,559.68	$2,493.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $914.38 / $1,277.02 / $2,317.23	Facility		$914.38	$1,277.02	$2,317.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,277.02 / $1,277.02 / $2,317.83	Professional		$1,277.02	$1,277.02	$2,317.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,491.60 / $2,317.50	Professional		$7.00	$1,491.60	$2,317.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $919.14 / $1,289.78 / $2,789.66	Professional		$919.14	$1,289.78	$2,789.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,893.84 / $8,533.52	Facility		$55.00	$6,893.84	$8,533.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,814.56 / $6,814.56 / $7,776.38	Professional		$6,814.56	$6,814.56	$7,776.38