Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.76 / $12,247.00 / $14,528.00	Facility		$909.76	$12,247.00	$14,528.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $909.76 / $909.76 / $2,139.62	Professional		$909.76	$909.76	$2,139.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,204.59 / $1,868.20 / $2,634.26	Professional		$1,204.59	$1,868.20	$2,634.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.64 / $1,518.90 / $2,381.56	Professional		$1,045.64	$1,518.90	$2,381.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $909.76 / $1,183.98 / $2,288.00	Facility		$909.76	$1,183.98	$2,288.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,183.98 / $1,183.98 / $2,295.94	Professional		$1,183.98	$1,183.98	$2,295.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,479.70 / $2,391.80	Professional		$5.00	$1,479.70	$2,391.80
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 $909.25 / $1,250.52 / $2,508.84	Professional		$909.25	$1,250.52	$2,508.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,073.89 / $16,547.20 / $26,542.00	Facility		$5,073.89	$16,547.20	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,284.73 / $10,284.73 / $10,284.73	Professional		$10,284.73	$10,284.73	$10,284.73