Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.56 / $1,615.00 / $10,561.00	Facility		$420.56	$1,615.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.56 / $440.25 / $737.69	Professional		$420.56	$440.25	$737.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.35 / $760.05 / $1,212.08	Professional		$564.35	$760.05	$1,212.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.15 / $711.24 / $1,133.17	Professional		$472.15	$711.24	$1,133.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $420.56 / $579.96 / $1,072.21	Facility		$420.56	$579.96	$1,072.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.96 / $579.96 / $1,064.46	Professional		$579.96	$579.96	$1,064.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $645.90 / $1,079.80	Professional		$6.00	$645.90	$1,079.80
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 $409.27 / $592.80 / $1,182.48	Professional		$409.27	$592.80	$1,182.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,793.56 / $17,986.75 / $26,542.00	Facility		$2,793.56	$17,986.75	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,156.64 / $3,156.64 / $3,611.85	Professional		$3,156.64	$3,156.64	$3,611.85