Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.91 / $1,615.00 / $10,561.00	Facility		$694.91	$1,615.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.91 / $694.91 / $1,220.33	Professional		$694.91	$694.91	$1,220.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $949.35 / $1,206.31 / $1,808.57	Professional		$949.35	$1,206.31	$1,808.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.01 / $1,170.86 / $1,822.76	Professional		$780.01	$1,170.86	$1,822.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $694.91 / $959.46 / $1,768.76	Facility		$694.91	$959.46	$1,768.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $959.46 / $959.46 / $1,760.62	Professional		$959.46	$959.46	$1,760.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.04 / $1,120.97 / $1,485.20	Professional		$1,016.04	$1,120.97	$1,485.20
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 $654.60 / $982.78 / $1,956.13	Professional		$654.60	$982.78	$1,956.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,605.64 / $9,558.29	Facility		$55.00	$4,605.64	$9,558.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,202.96 / $5,202.96 / $5,947.95	Professional		$5,202.96	$5,202.96	$5,947.95