Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $1,849.02 / $5,449.00	Facility		$172.00	$1,849.02	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $1,849.02 / $2,222.07	Professional		$172.00	$1,849.02	$2,222.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.95 / $2,639.08 / $4,388.05	Professional		$302.95	$2,639.08	$4,388.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.32 / $1,721.19 / $4,057.69	Professional		$253.32	$1,721.19	$4,057.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $1,849.02 / $3,143.33	Facility		$172.00	$1,849.02	$3,143.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,269.40 / $2,269.40 / $4,767.25	Professional		$2,269.40	$2,269.40	$4,767.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,295.80 / $5,295.80 / $5,295.80	Professional		$5,295.80	$5,295.80	$5,295.80
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,710.19 / $2,458.66 / $5,366.90	Professional		$1,710.19	$2,458.66	$5,366.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,217.68 / $3,217.68	Facility		$55.00	$3,217.68	$3,217.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,533.68 / $12,622.24 / $14,896.20	Professional		$6,533.68	$12,622.24	$14,896.20