Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.25 / $1,615.00 / $11,124.00	Facility		$692.25	$1,615.00	$11,124.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.87 / $692.25 / $1,240.24	Professional		$628.87	$692.25	$1,240.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.50 / $1,210.69 / $2,091.38	Professional		$747.50	$1,210.69	$2,091.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.00 / $905.87 / $1,713.89	Professional		$535.00	$905.87	$1,713.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $668.59 / $870.93 / $955.12	Facility		$668.59	$870.93	$955.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $955.12 / $955.12 / $955.12	Professional		$955.12	$955.12	$955.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $968.53 / $968.53 / $1,259.08	Professional		$968.53	$968.53	$1,259.08
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.65 / $770.21 / $1,652.62	Professional		$578.65	$770.21	$1,652.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,879.05	Facility		$55.00	$55.00	$11,879.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,096.16 / $6,105.83 / $6,105.83	Professional		$5,096.16	$6,105.83	$6,105.83