Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.40 / $863.77 / $7,439.00	Facility		$626.40	$863.77	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.40 / $653.91 / $1,156.76	Professional		$626.40	$653.91	$1,156.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,787.52 / $2,787.52 / $2,828.19	Facility		$2,787.52	$2,787.52	$2,828.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.94 / $960.78 / $1,429.22	Professional		$639.94	$960.78	$1,429.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,012.03	Facility		$606.10	$606.10	$2,012.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.11 / $875.63 / $1,515.05	Professional		$645.11	$875.63	$1,515.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $626.40 / $755.47 / $1,233.47	Facility		$626.40	$755.47	$1,233.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $706.00 / $706.00 / $815.00	Professional		$706.00	$706.00	$815.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $828.00 / $1,561.60	Professional		$6.00	$828.00	$1,561.60
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 $531.63 / $775.34 / $1,675.54	Professional		$531.63	$775.34	$1,675.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,803.81 / $6,649.40	Facility		$55.00	$5,803.81	$6,649.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,538.80 / $4,538.80 / $5,529.60	Professional		$4,538.80	$4,538.80	$5,529.60