Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.56 / $7,186.00 / $10,561.00	Facility		$720.56	$7,186.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.56 / $720.56 / $891.57	Professional		$720.56	$720.56	$891.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $926.62 / $1,437.64 / $2,057.19	Professional		$926.62	$1,437.64	$2,057.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,345.38 / $1,859.52	Professional		$150.00	$1,345.38	$1,859.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $687.68 / $963.44 / $1,421.66	Facility		$687.68	$963.44	$1,421.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $963.44 / $963.44 / $963.44	Professional		$963.44	$963.44	$963.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
United Facility/Professional Facility Modifier Low / Median / High Price $10,829.00 / $22,655.00 / $29,047.00	Facility		$10,829.00	$22,655.00	$29,047.00
United Facility/Professional Professional Modifier Low / Median / High Price $742.23 / $1,035.26 / $2,206.17	Professional		$742.23	$1,035.26	$2,206.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,626.20 / $61,948.80	Facility		$55.00	$2,626.20	$61,948.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,051.52 / $6,051.68 / $6,051.68	Professional		$5,051.52	$6,051.68	$6,051.68