Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $2,511.89	Facility		$912.01	$912.01	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,148.15	Professional		$758.58	$912.01	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,630.78	Facility		$2,570.40	$2,570.40	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $2,630.27	Professional		$977.24	$1,148.15	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,819.70 / $2,454.71	Facility		$741.31	$1,819.70	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,380.38	Facility		$870.96	$1,000.00	$1,380.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,949.84	Professional		$1,737.80	$1,737.80	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,348.96 / $1,380.38	Facility		$691.83	$1,348.96	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,258.93	Professional		$478.63	$691.83	$1,258.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $8,511.38	Professional		$5,623.41	$5,623.41	$8,511.38