Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.60 / $1,615.00 / $10,561.00	Facility		$581.60	$1,615.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.60 / $581.60 / $1,019.75	Professional		$581.60	$581.60	$1,019.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.38 / $1,050.42 / $1,508.89	Professional		$370.38	$1,050.42	$1,508.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.38 / $983.19 / $1,577.72	Professional		$657.38	$983.19	$1,577.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $581.60 / $797.15 / $1,491.00	Facility		$581.60	$797.15	$1,491.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $797.15 / $797.15 / $1,471.73	Professional		$797.15	$797.15	$1,471.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,001.60 / $1,488.20	Professional		$6.00	$1,001.60	$1,488.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,353.00 / $6,885.00 / $9,616.00	Facility		$2,353.00	$6,885.00	$9,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $570.86 / $808.36 / $1,763.44	Professional		$570.86	$808.36	$1,763.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,858.61 / $9,388.90 / $26,542.00	Facility		$3,858.61	$9,388.90	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,677.00 / $9,677.00 / $9,677.00	Professional		$9,677.00	$9,677.00	$9,677.00