Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.98 / $2,312.92 / $7,278.00	Facility		$215.98	$2,312.92	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.98 / $1,874.83 / $2,848.07	Professional		$215.98	$1,874.83	$2,848.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.88 / $1,680.14 / $4,161.56	Professional		$367.88	$1,680.14	$4,161.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.14 / $1,812.31 / $4,614.81	Professional		$294.14	$1,812.31	$4,614.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $215.98 / $1,960.17 / $3,467.08	Facility		$215.98	$1,960.17	$3,467.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,960.17 / $1,960.17 / $5,277.60	Professional		$1,960.17	$1,960.17	$5,277.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3,306.40 / $6,872.40	Professional		$3.00	$3,306.40	$6,872.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,522.97 / $2,758.24 / $5,448.01	Professional		$1,522.97	$2,758.24	$5,448.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,105.04 / $1,105.04	Facility		$55.00	$1,105.04	$1,105.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,518.90 / $16,230.88 / $19,177.50	Professional		$8,518.90	$16,230.88	$19,177.50