Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.00 / $720.00 / $1,450.77	Facility		$567.00	$720.00	$1,450.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $720.00 / $1,350.00	Professional		$306.00	$720.00	$1,350.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,524.64 / $2,025.02 / $2,458.66	Facility		$1,524.64	$2,025.02	$2,458.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $765.00 / $1,620.00	Professional		$405.00	$765.00	$1,620.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.25 / $1,252.95 / $2,362.85	Facility		$614.25	$1,252.95	$2,362.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.17 / $668.24 / $1,311.11	Professional		$417.17	$668.24	$1,311.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $900.00 / $1,350.00	Facility		$720.00	$900.00	$1,350.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $585.00 / $900.00	Professional		$585.00	$585.00	$900.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $900.00 / $1,723.50	Professional		$585.00	$900.00	$1,723.50
United Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $540.00 / $900.00	Professional		$450.00	$540.00	$900.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,566.00 / $4,275.00 / $4,275.00	Facility		$1,566.00	$4,275.00	$4,275.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $6,750.00	Professional		$4,500.00	$4,500.00	$6,750.00