Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.01 / $1,245.00 / $7,362.00	Facility		$452.01	$1,245.00	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.01 / $452.01 / $803.65	Professional		$452.01	$452.01	$803.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.49 / $869.00 / $1,326.70	Professional		$294.49	$869.00	$1,326.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.00 / $777.92 / $1,268.09	Professional		$545.00	$777.92	$1,268.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $452.01 / $643.50 / $1,144.73	Facility		$452.01	$643.50	$1,144.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $643.50 / $643.50 / $1,148.94	Professional		$643.50	$643.50	$1,148.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $796.20 / $1,134.90	Professional		$6.00	$796.20	$1,134.90
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 $461.48 / $678.48 / $1,518.93	Professional		$461.48	$678.48	$1,518.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,966.95 / $12,000.00 / $14,302.50	Facility		$2,966.95	$12,000.00	$14,302.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,352.80 / $3,352.80 / $3,815.93	Professional		$3,352.80	$3,352.80	$3,815.93