Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.54 / $1,615.00 / $10,561.00	Facility		$403.54	$1,615.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.54 / $427.70 / $712.41	Professional		$403.54	$427.70	$712.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.53 / $727.61 / $1,058.70	Professional		$551.53	$727.61	$1,058.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.25 / $687.69 / $1,113.43	Professional		$460.25	$687.69	$1,113.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $403.54 / $566.75 / $1,032.35	Facility		$403.54	$566.75	$1,032.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $566.75 / $566.75 / $1,028.84	Professional		$566.75	$566.75	$1,028.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $660.40 / $1,038.20	Professional		$3.00	$660.40	$1,038.20
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 $402.10 / $571.82 / $1,231.95	Professional		$402.10	$571.82	$1,231.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,538.56 / $9,388.90 / $26,542.00	Facility		$1,538.56	$9,388.90	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,439.00 / $3,439.00 / $3,483.45	Professional		$3,439.00	$3,439.00	$3,483.45