Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.95 / $1,615.00 / $10,561.00	Facility		$479.95	$1,615.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.95 / $502.72 / $910.14	Professional		$479.95	$502.72	$910.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $658.90 / $834.91 / $1,249.50	Professional		$658.90	$834.91	$1,249.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.85 / $814.44 / $1,300.45	Professional		$541.85	$814.44	$1,300.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $479.95 / $664.72 / $1,223.41	Facility		$479.95	$664.72	$1,223.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $664.72 / $664.72 / $1,217.13	Professional		$664.72	$664.72	$1,217.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $765.30 / $1,228.40	Professional		$4.00	$765.30	$1,228.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,736.00 / $13,997.00	Facility		$3,500.00	$8,736.00	$13,997.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.52 / $678.75 / $1,373.62	Professional		$473.52	$678.75	$1,373.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,276.55 / $9,558.29 / $26,542.00	Facility		$2,276.55	$9,558.29	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,118.63 / $4,194.54 / $4,194.54	Professional		$4,118.63	$4,194.54	$4,194.54