Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.00 / $516.00 / $967.18	Facility		$378.00	$516.00	$967.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $480.00 / $636.00	Professional		$399.00	$480.00	$636.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,016.42 / $1,350.01 / $1,639.12	Facility		$1,016.42	$1,350.01	$1,639.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $600.00 / $1,290.00	Professional		$510.00	$600.00	$1,290.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.91 / $835.30 / $1,575.53	Facility		$455.91	$835.30	$1,575.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.38 / $445.49 / $886.11	Professional		$277.38	$445.49	$886.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $600.00 / $900.00	Facility		$480.00	$600.00	$900.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $1,170.00	Professional		$600.00	$600.00	$1,170.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $600.00 / $1,149.00	Professional		$390.00	$600.00	$1,149.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $360.00 / $600.00	Professional		$300.00	$360.00	$600.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,044.00 / $2,850.00 / $2,850.00	Facility		$1,044.00	$2,850.00	$2,850.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $4,500.00	Professional		$3,000.00	$3,000.00	$4,500.00