Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.14 / $1,338.00 / $8,413.00	Facility		$423.14	$1,338.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.56 / $423.14 / $788.08	Professional		$407.56	$423.14	$788.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.26 / $695.13 / $995.61	Professional		$528.26	$695.13	$995.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.54 / $651.52 / $1,086.76	Professional		$438.54	$651.52	$1,086.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $423.14 / $546.00 / $1,057.69	Facility		$423.14	$546.00	$1,057.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $514.36 / $514.36 / $1,054.68	Professional		$514.36	$514.36	$1,054.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $666.40 / $1,100.59	Professional		$6.00	$666.40	$1,100.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.61 / $538.22 / $1,185.64	Professional		$386.61	$538.22	$1,185.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,771.37 / $9,496.40	Facility		$55.00	$2,771.37	$9,496.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,827.26 / $3,827.26 / $3,827.26	Professional		$3,827.26	$3,827.26	$3,827.26