Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.02 / $1,410.00 / $12,615.00	Facility		$738.02	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.82 / $738.02 / $1,058.65	Professional		$701.82	$738.02	$1,058.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.57 / $867.74 / $2,249.31	Professional		$117.57	$867.74	$2,249.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.22 / $902.97 / $2,078.92	Professional		$663.22	$902.97	$2,078.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $826.58 / $1,512.00	Facility		$716.00	$826.58	$1,512.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $869.99 / $918.00 / $918.00	Professional		$869.99	$918.00	$918.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $840.70 / $840.70 / $1,092.91	Professional		$840.70	$840.70	$1,092.91
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 $590.65 / $780.90 / $1,922.03	Professional		$590.65	$780.90	$1,922.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,533.30 / $6,887.55 / $26,542.00	Facility		$3,533.30	$6,887.55	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,485.00 / $5,485.00 / $6,513.60	Professional		$5,485.00	$5,485.00	$6,513.60