Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.24 / $1,635.00 / $10,561.00	Facility		$686.24	$1,635.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.24 / $686.24 / $1,240.38	Professional		$686.24	$686.24	$1,240.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $966.25 / $1,443.74 / $1,791.26	Professional		$966.25	$1,443.74	$1,791.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $790.36 / $1,167.20 / $1,896.87	Professional		$790.36	$1,167.20	$1,896.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $686.24 / $965.06 / $1,742.93	Facility		$686.24	$965.06	$1,742.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $965.06 / $965.06 / $1,741.11	Professional		$965.06	$965.06	$1,741.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,175.20 / $1,749.20	Professional		$3.00	$1,175.20	$1,749.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $681.63 / $913.20 / $1,960.81	Professional		$681.63	$913.20	$1,960.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,593.00 / $9,388.90 / $26,542.00	Facility		$2,593.00	$9,388.90	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,017.00 / $6,017.00 / $6,017.00	Professional		$6,017.00	$6,017.00	$6,017.00