Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.68 / $1,245.00 / $7,362.00	Facility		$458.68	$1,245.00	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.68 / $458.68 / $814.45	Professional		$458.68	$458.68	$814.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.06 / $863.62 / $1,345.54	Professional		$492.06	$863.62	$1,345.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.45 / $788.89 / $1,277.84	Professional		$554.45	$788.89	$1,277.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $458.68 / $653.94 / $1,159.69	Facility		$458.68	$653.94	$1,159.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $653.94 / $653.94 / $1,163.57	Professional		$653.94	$653.94	$1,163.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $807.40 / $1,151.70	Professional		$6.00	$807.40	$1,151.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $464.05 / $650.97 / $1,408.42	Professional		$464.05	$650.97	$1,408.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,007.90 / $12,000.00 / $14,302.50	Facility		$3,007.90	$12,000.00	$14,302.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,398.48 / $3,398.48 / $3,868.88	Professional		$3,398.48	$3,398.48	$3,868.88