Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.45 / $1,615.00 / $10,561.00	Facility		$781.45	$1,615.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.45 / $781.45 / $1,412.53	Professional		$781.45	$781.45	$1,412.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,031.35 / $1,376.24 / $2,171.71	Professional		$1,031.35	$1,376.24	$2,171.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.60 / $1,272.01 / $2,060.21	Professional		$869.60	$1,272.01	$2,060.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $781.45 / $1,043.38 / $1,983.44	Facility		$781.45	$1,043.38	$1,983.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,043.38 / $1,043.38 / $1,980.53	Professional		$1,043.38	$1,043.38	$1,980.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,259.40 / $1,990.00	Professional		$3.00	$1,259.40	$1,990.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $698.30 / $1,082.19 / $2,510.81	Professional		$698.30	$1,082.19	$2,510.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,953.72 / $5,444.45 / $26,542.00	Facility		$2,953.72	$5,444.45	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,839.68 / $5,839.68 / $6,670.88	Professional		$5,839.68	$5,839.68	$6,670.88