Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.69 / $1,350.00 / $5,449.00	Facility		$492.69	$1,350.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.06 / $532.10 / $1,081.89	Professional		$447.06	$532.10	$1,081.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.35 / $836.29 / $1,301.15	Professional		$615.35	$836.29	$1,301.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.84 / $756.58 / $1,216.41	Professional		$506.84	$756.58	$1,216.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $447.06 / $622.29 / $1,139.65	Facility		$447.06	$622.29	$1,139.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $622.29 / $622.29 / $1,131.54	Professional		$622.29	$622.29	$1,131.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $638.10 / $1,145.70	Professional		$3.00	$638.10	$1,145.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.15 / $639.97 / $1,357.15	Professional		$447.15	$639.97	$1,357.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,694.48 / $9,388.90 / $12,000.00	Facility		$1,694.48	$9,388.90	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,352.08 / $3,352.08 / $3,831.60	Professional		$3,352.08	$3,352.08	$3,831.60