Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.22 / $1,338.00 / $8,413.00	Facility		$484.22	$1,338.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $484.22 / $804.86	Professional		$484.22	$484.22	$804.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.79 / $806.02 / $1,169.95	Professional		$468.79	$806.02	$1,169.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.72 / $750.41 / $1,243.01	Professional		$508.72	$750.41	$1,243.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $484.22 / $621.24 / $1,229.67	Facility		$484.22	$621.24	$1,229.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $616.45 / $616.45 / $1,189.69	Professional		$616.45	$616.45	$1,189.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $673.80 / $1,255.90	Professional		$4.00	$673.80	$1,255.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $454.11 / $631.13 / $1,356.87	Professional		$454.11	$631.13	$1,356.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,280.05 / $17,704.40	Facility		$2,000.00	$2,280.05	$17,704.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,058.97 / $5,058.97 / $5,058.97	Professional		$5,058.97	$5,058.97	$5,058.97