Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.61 / $672.52 / $952.05	Facility		$529.61	$672.52	$952.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.38 / $672.52 / $807.02	Professional		$504.38	$672.52	$807.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,613.46 / $1,734.90 / $1,734.90	Facility		$1,613.46	$1,734.90	$1,734.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $421.99 / $1,091.45	Professional		$75.00	$421.99	$1,091.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.11 / $858.32 / $2,207.17	Facility		$447.11	$858.32	$2,207.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.03 / $613.21 / $1,224.68	Professional		$390.03	$613.21	$1,224.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $504.39 / $590.61 / $966.75	Facility		$504.39	$590.61	$966.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $590.61 / $782.78 / $840.65	Professional		$590.61	$782.78	$840.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $546.41 / $840.65 / $1,609.84	Professional		$546.41	$840.65	$1,609.84
United Facility/Professional Professional Modifier Low / Median / High Price $295.31 / $462.36 / $840.65	Professional		$295.31	$462.36	$840.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,345.04 / $3,993.09 / $3,993.09	Facility		$1,345.04	$3,993.09	$3,993.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,203.25 / $4,203.25 / $6,304.88	Professional		$4,203.25	$4,203.25	$6,304.88