Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.90 / $1,615.00 / $12,615.00	Facility		$790.90	$1,615.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.90 / $790.90 / $1,295.22	Professional		$790.90	$790.90	$1,295.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.94 / $1,360.01 / $1,937.93	Professional		$974.94	$1,360.01	$1,937.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.62 / $1,270.09 / $2,045.88	Professional		$837.62	$1,270.09	$2,045.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $758.99 / $1,021.05 / $1,980.82	Facility		$758.99	$1,021.05	$1,980.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,021.05 / $1,021.05 / $2,007.82	Professional		$1,021.05	$1,021.05	$2,007.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,026.50 / $2,027.10	Professional		$6.00	$1,026.50	$2,027.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $769.48 / $1,064.14 / $2,213.84	Professional		$769.48	$1,064.14	$2,213.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,170.55 / $6,350.68	Facility		$55.00	$5,170.55	$6,350.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,750.88 / $5,750.88 / $6,734.55	Professional		$5,750.88	$5,750.88	$6,734.55