Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.81 / $1,029.59 / $2,074.62	Facility		$810.81	$1,029.59	$2,074.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.20 / $1,029.59 / $1,093.95	Professional		$772.20	$1,029.59	$1,093.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,180.21 / $3,117.48 / $3,515.88	Facility		$2,180.21	$3,117.48	$3,515.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.15 / $1,093.95 / $2,316.60	Professional		$579.15	$1,093.95	$2,316.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.93 / $2,388.67 / $3,378.81	Facility		$977.93	$2,388.67	$3,378.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.10 / $955.47 / $1,874.90	Professional		$597.10	$955.47	$1,874.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $772.20 / $1,220.08 / $1,544.40	Facility		$772.20	$1,220.08	$1,544.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,198.16 / $1,287.00 / $1,287.00	Professional		$1,198.16	$1,287.00	$1,287.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $836.55 / $1,287.00 / $2,464.61	Professional		$836.55	$1,287.00	$2,464.61
United Facility/Professional Professional Modifier Low / Median / High Price $643.50 / $772.20 / $1,287.00	Professional		$643.50	$772.20	$1,287.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,059.19 / $6,113.25 / $6,113.25	Facility		$2,059.19	$6,113.25	$6,113.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,435.00 / $6,435.00 / $9,652.50	Professional		$6,435.00	$6,435.00	$9,652.50