Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.22 / $1,245.00 / $6,953.60	Facility		$541.22	$1,245.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.22 / $541.22 / $973.32	Professional		$541.22	$541.22	$973.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.32 / $914.05 / $1,497.33	Professional		$639.32	$914.05	$1,497.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.67 / $837.65 / $1,402.97	Professional		$561.67	$837.65	$1,402.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $541.22 / $671.66 / $1,357.19	Facility		$541.22	$671.66	$1,357.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $664.29 / $664.29 / $1,346.07	Professional		$664.29	$664.29	$1,346.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $694.00 / $1,459.20	Professional		$5.00	$694.00	$1,459.20
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 $501.29 / $701.81 / $1,489.23	Professional		$501.29	$701.81	$1,489.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,005.88 / $7,909.30 / $12,000.00	Facility		$3,005.88	$7,909.30	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,641.26 / $4,641.26 / $4,641.26	Professional		$4,641.26	$4,641.26	$4,641.26