Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.21 / $599.23 / $7,439.00	Facility		$451.21	$599.23	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.21 / $451.21 / $787.79	Professional		$451.21	$451.21	$787.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.08 / $715.95 / $1,165.06	Professional		$487.08	$715.95	$1,165.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.27 / $701.96 / $1,171.03	Professional		$528.27	$701.96	$1,171.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $451.21 / $566.75 / $1,193.38	Facility		$451.21	$566.75	$1,193.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $520.58 / $520.58 / $1,254.19	Professional		$520.58	$520.58	$1,254.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $648.10 / $704.80 / $1,149.50	Professional		$648.10	$704.80	$1,149.50
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 $391.83 / $621.24 / $1,262.79	Professional		$391.83	$621.24	$1,262.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,153.40 / $2,176.40	Facility		$55.00	$1,153.40	$2,176.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,374.85 / $3,374.85 / $4,165.43	Professional		$3,374.85	$3,374.85	$4,165.43