Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.60 / $1,338.00 / $8,413.00	Facility		$645.60	$1,338.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.60 / $645.60 / $1,159.15	Professional		$645.60	$645.60	$1,159.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.16 / $1,327.19 / $1,664.22	Professional		$904.16	$1,327.19	$1,664.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.46 / $1,081.16 / $1,743.75	Professional		$728.46	$1,081.16	$1,743.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $645.60 / $888.83 / $1,705.00	Facility		$645.60	$888.83	$1,705.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $888.83 / $888.83 / $1,630.70	Professional		$888.83	$888.83	$1,630.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,149.70 / $1,669.60	Professional		$3.00	$1,149.70	$1,669.60
United Facility/Professional Facility Modifier Low / Median / High Price $11,533.00 / $24,671.00 / $40,521.00	Facility		$11,533.00	$24,671.00	$40,521.00
United Facility/Professional Professional Modifier Low / Median / High Price $632.77 / $892.12 / $1,853.07	Professional		$632.77	$892.12	$1,853.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,468.44 / $26,542.00 / $97,541.90	Facility		$2,468.44	$26,542.00	$97,541.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,100.00 / $12,100.00 / $12,100.00	Professional		$12,100.00	$12,100.00	$12,100.00