Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.97 / $1,995.00 / $7,439.00	Facility		$405.97	$1,995.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.97 / $405.97 / $524.48	Professional		$405.97	$405.97	$524.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.36 / $875.50 / $1,240.64	Professional		$568.36	$875.50	$1,240.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.19 / $712.12 / $1,223.63	Professional		$521.19	$712.12	$1,223.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $405.97 / $631.61 / $848.29	Facility		$405.97	$631.61	$848.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $631.61 / $631.61 / $1,017.08	Professional		$631.61	$631.61	$1,017.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $1,064.09	Professional		$5.00	$5.00	$1,064.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $419.53 / $583.28 / $1,288.50	Professional		$419.53	$583.28	$1,288.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,636.88 / $8,957.00	Facility		$55.00	$2,636.88	$8,957.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,452.72 / $4,013.18 / $4,013.18	Professional		$3,452.72	$4,013.18	$4,013.18