Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.58 / $1,410.00 / $12,615.00	Facility		$563.58	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.58 / $572.17 / $1,115.47	Professional		$563.58	$572.17	$1,115.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,578.84 / $1,578.84 / $1,601.88	Facility		$1,578.84	$1,578.84	$1,601.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.72 / $988.50 / $1,539.91	Professional		$642.72	$988.50	$1,539.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,587.44 / $1,587.44 / $1,591.30	Facility		$1,587.44	$1,587.44	$1,591.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.09 / $809.42 / $1,434.38	Professional		$619.09	$809.42	$1,434.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $563.58 / $783.38 / $1,133.30	Facility		$563.58	$783.38	$1,133.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $692.36 / $717.00 / $1,592.00	Professional		$692.36	$717.00	$1,592.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $782.30 / $1,480.50	Professional		$5.00	$782.30	$1,480.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.43 / $731.55 / $1,523.56	Professional		$491.43	$731.55	$1,523.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,326.82 / $6,524.00 / $26,542.00	Facility		$3,326.82	$6,524.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,224.15 / $8,224.15 / $8,224.15	Professional		$8,224.15	$8,224.15	$8,224.15