Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.50 / $5,597.76 / $10,579.80	Facility		$943.50	$5,597.76	$10,579.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.50 / $943.50 / $981.75	Professional		$943.50	$943.50	$981.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,010.63 / $1,010.63 / $1,155.00	Professional		$1,010.63	$1,010.63	$1,155.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Facility		$981.75	$981.75	$981.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $1,155.00	Professional		$981.75	$981.75	$1,155.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $808.50 / $808.50 / $1,132.20	Facility		$808.50	$808.50	$1,132.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $808.50 / $808.50 / $808.50	Professional		$808.50	$808.50	$808.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,175.81 / $2,270.34 / $2,698.63	Professional		$2,175.81	$2,270.34	$2,698.63
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,251.25	Professional		$962.50	$962.50	$1,251.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,097.25 / $1,097.25 / $4,014.44	Facility		$1,097.25	$1,097.25	$4,014.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,389.00 / $4,389.00 / $5,197.50	Professional		$4,389.00	$4,389.00	$5,197.50