Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.53 / $1,615.00 / $10,276.73	Facility		$505.53	$1,615.00	$10,276.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.32 / $539.20 / $1,223.38	Professional		$465.32	$539.20	$1,223.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,326.31 / $1,326.31 / $1,345.66	Facility		$1,326.31	$1,326.31	$1,345.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.20 / $804.68 / $1,359.38	Professional		$587.20	$804.68	$1,359.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $1,438.74	Facility		$606.10	$606.10	$1,438.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.37 / $733.94 / $1,275.53	Professional		$556.37	$733.94	$1,275.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $505.53 / $675.00 / $1,142.50	Facility		$505.53	$675.00	$1,142.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $636.00 / $680.00	Professional		$579.00	$636.00	$680.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,186.31 / $2,186.31 / $2,186.31	Facility		$2,186.31	$2,186.31	$2,186.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $694.00 / $1,365.40	Professional		$3.00	$694.00	$1,365.40
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,733.00 / $6,543.00	Facility		$900.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.96 / $641.39 / $1,369.71	Professional		$434.96	$641.39	$1,369.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,962.08 / $4,754.80 / $26,542.00	Facility		$1,962.08	$4,754.80	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,513.13 / $5,377.47 / $5,377.47	Professional		$4,513.13	$5,377.47	$5,377.47