Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.75 / $903.00 / $6,953.60	Facility		$359.75	$903.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.75 / $359.75 / $638.74	Professional		$359.75	$359.75	$638.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.13 / $677.38 / $1,054.44	Professional		$449.13	$677.38	$1,054.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.23 / $619.33 / $1,013.45	Professional		$436.23	$619.33	$1,013.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $359.75 / $512.39 / $908.05	Facility		$359.75	$512.39	$908.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $512.39 / $512.39 / $912.19	Professional		$512.39	$512.39	$912.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $633.10 / $904.30	Professional		$6.00	$633.10	$904.30
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 $364.31 / $498.07 / $1,005.99	Professional		$364.31	$498.07	$1,005.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,358.51 / $9,388.90 / $12,000.00	Facility		$2,358.51	$9,388.90	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,666.32 / $2,666.32 / $3,033.45	Professional		$2,666.32	$2,666.32	$3,033.45