Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.58 / $1,245.00 / $6,953.60	Facility		$444.58	$1,245.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.74 / $457.92 / $743.43	Professional		$420.74	$457.92	$743.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,021.07 / $1,123.17 / $1,905.99	Facility		$1,021.07	$1,123.17	$1,905.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.07 / $683.48 / $1,280.36	Professional		$371.07	$683.48	$1,280.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.41 / $1,359.55 / $2,702.90	Facility		$338.41	$1,359.55	$2,702.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.57 / $658.02 / $1,106.93	Professional		$423.57	$658.02	$1,106.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $511.11 / $787.70	Facility		$394.00	$511.11	$787.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $412.00 / $705.80	Professional		$378.00	$412.00	$705.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $343.70 / $413.60 / $1,022.10	Professional		$343.70	$413.60	$1,022.10
United Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $650.00 / $4,824.00	Facility		$393.00	$650.00	$4,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.76 / $529.19 / $1,069.35	Professional		$373.76	$529.19	$1,069.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,502.30 / $7,909.30 / $12,000.00	Facility		$2,502.30	$7,909.30	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,277.04 / $3,277.04 / $3,844.28	Professional		$3,277.04	$3,277.04	$3,844.28