Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.50 / $840.00 / $1,680.24	Facility		$661.50	$840.00	$1,680.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.00 / $840.00 / $1,008.00	Professional		$735.00	$840.00	$1,008.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.73 / $2,637.20 / $2,847.55	Facility		$1,778.73	$2,637.20	$2,847.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $744.76 / $1,680.00	Professional		$75.00	$744.76	$1,680.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $797.84 / $1,948.71 / $2,756.96	Facility		$797.84	$1,948.71	$2,756.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.17 / $970.30 / $1,529.71	Professional		$487.17	$970.30	$1,529.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $661.50 / $945.00 / $1,207.50	Facility		$661.50	$945.00	$1,207.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $1,042.34 / $1,050.00	Professional		$682.50	$1,042.34	$1,050.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $1,050.00 / $2,010.75	Professional		$682.50	$1,050.00	$2,010.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,260.00 / $1,260.00 / $1,260.00	Facility		$1,260.00	$1,260.00	$1,260.00
United Facility/Professional Professional Modifier Low / Median / High Price $521.17 / $625.41 / $1,050.00	Professional		$521.17	$625.41	$1,050.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,827.00 / $4,987.50 / $4,987.50	Facility		$1,827.00	$4,987.50	$4,987.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,250.00 / $5,250.00 / $7,875.00	Professional		$5,250.00	$5,250.00	$7,875.00