Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.20 / $928.00 / $1,869.89	Facility		$835.20	$928.00	$1,869.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.40 / $928.00 / $1,229.59	Professional		$771.40	$928.00	$1,229.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,965.08 / $2,420.05 / $2,610.01	Facility		$1,965.08	$2,420.05	$2,610.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $986.00 / $1,160.00 / $2,494.00	Professional		$986.00	$1,160.00	$2,494.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.43 / $1,614.72 / $3,045.20	Facility		$881.43	$1,614.72	$3,045.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.16 / $1,021.52 / $1,712.45	Professional		$538.16	$1,021.52	$1,712.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $928.00 / $1,160.00 / $1,682.00	Facility		$928.00	$1,160.00	$1,682.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,052.52 / $1,052.52 / $1,160.00	Professional		$1,052.52	$1,052.52	$1,160.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $754.00 / $1,160.00 / $2,221.40	Professional		$754.00	$1,160.00	$2,221.40
United Facility/Professional Professional Modifier Low / Median / High Price $580.00 / $696.00 / $1,160.00	Professional		$580.00	$696.00	$1,160.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,018.40 / $5,510.00 / $5,510.00	Facility		$2,018.40	$5,510.00	$5,510.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,800.00 / $5,800.00 / $8,700.00	Professional		$5,800.00	$5,800.00	$8,700.00