Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.48 / $1,245.00 / $7,439.00	Facility		$474.48	$1,245.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.48 / $474.48 / $833.43	Professional		$474.48	$474.48	$833.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $887.77 / $1,381.25	Professional		$498.14	$887.77	$1,381.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.04 / $804.97 / $1,291.31	Professional		$538.04	$804.97	$1,291.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $474.48 / $657.03 / $1,218.95	Facility		$474.48	$657.03	$1,218.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $657.03 / $657.03 / $1,200.42	Professional		$657.03	$657.03	$1,200.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $768.60 / $1,215.40	Professional		$4.00	$768.60	$1,215.40
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 $474.86 / $659.71 / $1,525.84	Professional		$474.86	$659.71	$1,525.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,253.50 / $9,388.90 / $16,394.00	Facility		$2,253.50	$9,388.90	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,505.85 / $4,505.85 / $4,505.85	Professional		$4,505.85	$4,505.85	$4,505.85