Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.39 / $4,311.00 / $18,380.46	Facility		$224.39	$4,311.00	$18,380.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.28 / $2,860.80 / $6,179.33	Professional		$160.28	$2,860.80	$6,179.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.14 / $3,360.94 / $8,523.46	Professional		$245.14	$3,360.94	$8,523.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.51 / $3,214.53 / $7,770.98	Professional		$211.51	$3,214.53	$7,770.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $160.28 / $2,860.80 / $5,551.54	Facility		$160.28	$2,860.80	$5,551.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,951.39 / $4,951.39 / $7,699.39	Professional		$4,951.39	$4,951.39	$7,699.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5,082.00 / $8,256.90	Professional		$5.00	$5,082.00	$8,256.90
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,143.04 / $4,466.72 / $8,971.99	Professional		$3,143.04	$4,466.72	$8,971.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,121.88 / $1,121.88	Facility		$55.00	$1,121.88	$1,121.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,269.87 / $19,541.36 / $23,097.38	Professional		$10,269.87	$19,541.36	$23,097.38