Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $6,389.48 / $11,472.36	Facility		$1,245.00	$6,389.48	$11,472.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.63 / $644.14 / $1,302.00	Professional		$508.63	$644.14	$1,302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.02 / $945.87 / $1,296.20	Professional		$699.02	$945.87	$1,296.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.61 / $850.68 / $1,457.03	Professional		$573.61	$850.68	$1,457.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $576.41 / $719.00 / $1,396.68	Facility		$576.41	$719.00	$1,396.68
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $88.07 / $100.66 / $195.54	Facility	AS	$88.07	$100.66	$195.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $629.10 / $629.10 / $1,388.91	Professional		$629.10	$629.10	$1,388.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $792.90 / $1,523.60	Professional		$4.00	$792.90	$1,523.60
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 $483.24 / $719.49 / $1,582.67	Professional		$483.24	$719.49	$1,582.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,717.65 / $9,496.40 / $26,542.00	Facility		$2,717.65	$9,496.40	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $134.01 / $900.13 / $900.13	Facility	AS	$134.01	$900.13	$900.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,240.88 / $4,240.88 / $4,984.58	Professional		$4,240.88	$4,240.88	$4,984.58