Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,023.29	Professional		$660.69	$812.83	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,737.80	Professional		$741.31	$1,096.48	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,862.09	Professional		$758.58	$1,071.52	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $870.96 / $1,412.54	Facility		$691.83	$870.96	$1,412.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $588.84 / $741.31	Professional		$549.54	$588.84	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $1,047.13	Professional		$398.11	$616.60	$1,047.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $7,079.46	Professional		$5,370.32	$5,370.32	$7,079.46