Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.71 / $1,230.09 / $7,724.00	Facility		$762.71	$1,230.09	$7,724.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.71 / $857.90 / $1,647.45	Professional		$762.71	$857.90	$1,647.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,098.05 / $1,367.68 / $2,005.78	Professional		$1,098.05	$1,367.68	$2,005.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.85 / $1,295.03 / $2,130.96	Professional		$888.85	$1,295.03	$2,130.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $762.71 / $1,075.02 / $1,949.17	Facility		$762.71	$1,075.02	$1,949.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,075.02 / $1,075.02 / $1,933.10	Professional		$1,075.02	$1,075.02	$1,933.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,268.20 / $1,939.90	Professional		$3.00	$1,268.20	$1,939.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $9,447.00 / $14,589.00	Facility		$2,629.00	$9,447.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $756.34 / $1,096.38 / $2,094.92	Professional		$756.34	$1,096.38	$2,094.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,879.32 / $9,388.90 / $26,542.00	Facility		$2,879.32	$9,388.90	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,692.00 / $5,692.00 / $6,501.30	Professional		$5,692.00	$5,692.00	$6,501.30