Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.38 / $1,637.96 / $3,834.38	Facility		$716.38	$1,637.96	$3,834.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.80 / $716.38 / $866.20	Professional		$646.80	$716.38	$866.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.05 / $1,072.39 / $2,625.17	Professional		$683.05	$1,072.39	$2,625.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.13 / $854.13 / $854.13	Facility		$854.13	$854.13	$854.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.26 / $1,074.57 / $2,754.70	Professional		$698.26	$1,074.57	$2,754.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $675.32 / $813.05 / $1,043.15	Facility		$675.32	$813.05	$1,043.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $364.16 / $813.05 / $1,055.00	Professional		$364.16	$813.05	$1,055.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.59 / $1,898.22 / $2,055.07	Professional		$1,033.59	$1,898.22	$2,055.07
United Facility/Professional Professional Modifier Low / Median / High Price $373.25 / $558.45 / $1,092.88	Professional		$373.25	$558.45	$1,092.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,378.08 / $3,967.91 / $3,967.91	Facility		$1,378.08	$3,967.91	$3,967.91
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,680.93 / $6,400.13 / $6,400.13	Professional		$4,680.93	$6,400.13	$6,400.13