Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.25 / $2,559.54 / $12,615.00	Facility		$784.25	$2,559.54	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.25 / $784.25 / $1,458.27	Professional		$784.25	$784.25	$1,458.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,002.13 / $1,411.47 / $2,205.12	Professional		$1,002.13	$1,411.47	$2,205.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $918.78 / $1,324.24 / $2,061.52	Professional		$918.78	$1,324.24	$2,061.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $784.25 / $1,024.85 / $1,964.40	Facility		$784.25	$1,024.85	$1,964.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,024.85 / $1,024.85 / $2,010.68	Professional		$1,024.85	$1,024.85	$2,010.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,189.40 / $1,996.50	Professional		$6.00	$1,189.40	$1,996.50
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 $770.13 / $1,117.23 / $2,235.50	Professional		$770.13	$1,117.23	$2,235.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,130.93 / $26,542.00 / $27,770.10	Facility		$5,130.93	$26,542.00	$27,770.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,544.97 / $6,544.97 / $6,674.93	Professional		$6,544.97	$6,544.97	$6,674.93