Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.09 / $659.04 / $5,449.00	Facility		$343.09	$659.04	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.09 / $419.52 / $638.89	Professional		$343.09	$419.52	$638.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.10 / $805.47 / $1,216.05	Professional		$518.10	$805.47	$1,216.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.16 / $629.28 / $1,087.81	Professional		$432.16	$629.28	$1,087.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $343.09 / $586.77 / $1,074.79	Facility		$343.09	$586.77	$1,074.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $586.77 / $586.77 / $1,066.38	Professional		$586.77	$586.77	$1,066.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $862.20 / $1,159.70	Professional		$6.00	$862.20	$1,159.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.58 / $591.16 / $1,269.67	Professional		$420.58	$591.16	$1,269.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,789.50 / $2,789.50 / $12,000.00	Facility		$2,789.50	$2,789.50	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,549.28 / $3,771.21 / $6,020.49	Professional		$2,549.28	$3,771.21	$6,020.49