Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.62 / $4,118.72 / $8,413.00	Facility		$351.62	$4,118.72	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.45 / $1,101.63 / $2,038.63	Professional		$203.45	$1,101.63	$2,038.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.42 / $1,883.36 / $3,102.63	Professional		$370.42	$1,883.36	$3,102.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.62 / $770.98 / $2,864.40	Professional		$289.62	$770.98	$2,864.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $203.45 / $1,268.69 / $2,162.17	Facility		$203.45	$1,268.69	$2,162.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,636.24 / $1,636.24 / $3,410.56	Professional		$1,636.24	$1,636.24	$3,410.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,651.80 / $3,608.80	Professional		$3.00	$1,651.80	$3,608.80
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,196.20 / $1,734.71 / $3,630.55	Professional		$1,196.20	$1,734.71	$3,630.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,196.60 / $2,196.60	Facility		$55.00	$2,196.60	$2,196.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,502.76 / $8,591.92 / $10,119.29	Professional		$4,502.76	$8,591.92	$10,119.29