Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.11 / $1,995.00 / $7,439.00	Facility		$465.11	$1,995.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.11 / $465.11 / $596.59	Professional		$465.11	$465.11	$596.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.15 / $977.30 / $1,421.38	Professional		$651.15	$977.30	$1,421.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.76 / $815.68 / $1,366.31	Professional		$595.76	$815.68	$1,366.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $465.11 / $704.82 / $970.99	Facility		$465.11	$704.82	$970.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $704.82 / $704.82 / $1,161.34	Professional		$704.82	$704.82	$1,161.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $1,212.50	Professional		$5.00	$5.00	$1,212.50
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 $480.56 / $699.40 / $1,434.72	Professional		$480.56	$699.40	$1,434.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,942.94 / $8,957.00	Facility		$55.00	$2,942.94	$8,957.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,852.40 / $4,475.55 / $4,475.55	Professional		$3,852.40	$4,475.55	$4,475.55