Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.33 / $627.59 / $7,439.00	Facility		$415.33	$627.59	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.95 / $415.33 / $880.50	Professional		$375.95	$415.33	$880.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.75 / $697.28 / $1,023.73	Professional		$499.75	$697.28	$1,023.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.53 / $663.84 / $1,011.46	Professional		$467.53	$663.84	$1,011.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $415.33 / $517.37 / $846.97	Facility		$415.33	$517.37	$846.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $517.37 / $517.37 / $1,101.33	Professional		$517.37	$517.37	$1,101.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $594.00 / $1,071.50	Professional		$4.00	$594.00	$1,071.50
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 $395.46 / $566.23 / $1,347.12	Professional		$395.46	$566.23	$1,347.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,992.50 / $2,393.65	Facility		$55.00	$1,992.50	$2,393.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,979.92 / $2,979.92 / $3,714.83	Professional		$2,979.92	$2,979.92	$3,714.83