Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.41 / $1,338.00 / $8,413.00	Facility		$823.41	$1,338.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.41 / $823.41 / $1,447.84	Professional		$823.41	$823.41	$1,447.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.88 / $1,485.83 / $2,276.46	Professional		$794.88	$1,485.83	$2,276.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.13 / $1,318.87 / $2,137.28	Professional		$891.13	$1,318.87	$2,137.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $823.41 / $1,038.88 / $2,065.35	Facility		$823.41	$1,038.88	$2,065.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,029.24 / $1,029.24 / $2,050.36	Professional		$1,029.24	$1,029.24	$2,050.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,088.09 / $2,199.69	Professional		$5.00	$1,088.09	$2,199.69
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 $804.28 / $1,087.27 / $2,269.87	Professional		$804.28	$1,087.27	$2,269.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,578.42 / $7,909.30 / $26,542.00	Facility		$4,578.42	$7,909.30	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,993.52 / $5,993.52 / $6,988.28	Professional		$5,993.52	$5,993.52	$6,988.28