Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.80 / $4,878.00 / $6,915.00	Facility		$591.80	$4,878.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.48 / $404.35 / $791.60	Professional		$366.48	$404.35	$791.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.32 / $867.51 / $1,048.77	Professional		$523.32	$867.51	$1,048.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.71 / $633.24 / $1,082.31	Professional		$475.71	$633.24	$1,082.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $366.48 / $528.04 / $857.95	Facility		$366.48	$528.04	$857.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $515.49 / $515.49 / $919.65	Professional		$515.49	$515.49	$919.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $455.80 / $940.90	Professional		$3.00	$455.80	$940.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $3,733.00 / $6,388.00	Facility		$1,258.00	$3,733.00	$6,388.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.49 / $514.04 / $1,049.38	Professional		$372.49	$514.04	$1,049.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,391.88 / $9,388.90	Facility		$55.00	$1,391.88	$9,388.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,751.20 / $3,149.85 / $3,149.85	Professional		$2,751.20	$3,149.85	$3,149.85