Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.63 / $1,615.00 / $12,615.00	Facility		$812.63	$1,615.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.63 / $812.63 / $1,359.75	Professional		$812.63	$812.63	$1,359.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.37 / $1,433.90 / $1,993.24	Professional		$739.37	$1,433.90	$1,993.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $925.25 / $1,325.28 / $2,103.37	Professional		$925.25	$1,325.28	$2,103.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $812.63 / $1,037.35 / $2,035.22	Facility		$812.63	$1,037.35	$2,035.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,037.35 / $1,037.35 / $2,063.63	Professional		$1,037.35	$1,037.35	$2,063.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,133.70 / $2,081.19	Professional		$6.00	$1,133.70	$2,081.19
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 $780.34 / $1,122.49 / $2,272.69	Professional		$780.34	$1,122.49	$2,272.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,313.07 / $6,524.35	Facility		$55.00	$5,313.07	$6,524.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,017.19 / $7,017.19 / $7,017.19	Professional		$7,017.19	$7,017.19	$7,017.19