Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,862.09	Facility		$676.08	$676.08	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $851.14	Professional		$562.34	$676.08	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,691.53	Facility		$1,445.44	$1,905.46	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,949.84	Professional		$724.44	$851.14	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,348.96 / $2,238.72	Facility		$645.65	$1,348.96	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $758.58 / $1,148.15	Facility		$616.60	$758.58	$1,148.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,412.54	Professional		$1,288.25	$1,288.25	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,000.00 / $1,023.29	Facility		$512.86	$1,000.00	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $933.25	Professional		$354.81	$512.86	$933.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $6,309.57	Professional		$4,168.69	$4,168.69	$6,309.57