Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.76 / $693.76 / $1,217.72	Facility		$693.76	$693.76	$1,217.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.76 / $693.76 / $725.98	Professional		$693.76	$693.76	$725.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,088.72 / $1,495.95 / $1,876.47	Professional		$1,088.72	$1,495.95	$1,876.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.14 / $651.41 / $1,331.53	Facility		$473.14	$651.41	$1,331.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.78 / $1,312.60 / $2,223.10	Professional		$855.78	$1,312.60	$2,223.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $693.76 / $1,281.58 / $1,578.96	Facility		$693.76	$1,281.58	$1,578.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,281.58 / $1,281.58 / $1,281.58	Professional		$1,281.58	$1,281.58	$1,281.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,236.50 / $2,236.50 / $2,236.50	Professional		$2,236.50	$2,236.50	$2,236.50
United Facility/Professional Professional Modifier Low / Median / High Price $831.25 / $1,154.28 / $2,165.32	Professional		$831.25	$1,154.28	$2,165.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,898.34 / $2,079.42 / $5,379.71	Facility		$1,898.34	$2,079.42	$5,379.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,190.18 / $8,416.58 / $8,416.58	Professional		$5,190.18	$8,416.58	$8,416.58