Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.88 / $1,615.00 / $10,561.00	Facility		$545.88	$1,615.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.88 / $545.88 / $915.25	Professional		$545.88	$545.88	$915.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.74 / $942.58 / $1,330.78	Professional		$685.74	$942.58	$1,330.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.35 / $854.29 / $1,405.62	Professional		$576.35	$854.29	$1,405.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $545.88 / $702.38 / $1,385.19	Facility		$545.88	$702.38	$1,385.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $702.38 / $702.38 / $1,345.98	Professional		$702.38	$702.38	$1,345.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $799.90 / $1,410.20	Professional		$4.00	$799.90	$1,410.20
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 $519.16 / $735.64 / $1,529.21	Professional		$519.16	$735.64	$1,529.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,568.75 / $3,188.10	Facility		$2,000.00	$2,568.75	$3,188.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,983.09 / $7,983.09 / $7,983.09	Professional		$7,983.09	$7,983.09	$7,983.09