Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.60 / $4,094.22 / $9,293.90	Facility		$489.60	$4,094.22	$9,293.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.60 / $489.60 / $526.98	Professional		$489.60	$489.60	$526.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $936.56 / $936.56 / $999.00	Professional		$936.56	$936.56	$999.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Facility		$526.98	$526.98	$526.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $619.98	Professional		$526.98	$526.98	$619.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $418.95 / $418.95 / $587.52	Facility		$418.95	$418.95	$587.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $418.95 / $418.95 / $418.95	Professional		$418.95	$418.95	$418.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.68 / $1,134.94 / $1,349.04	Professional		$1,087.68	$1,134.94	$1,349.04
United Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $516.65 / $671.65	Professional		$516.65	$516.65	$671.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $588.98 / $588.98 / $2,122.65	Facility		$588.98	$588.98	$2,122.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,355.92 / $2,355.92 / $2,669.76	Professional		$2,355.92	$2,355.92	$2,669.76