Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,290.87	Facility		$1,412.54	$1,412.54	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,412.54	Professional		$676.08	$891.25	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $3,162.28	Facility		$1,318.26	$1,584.89	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,348.96	Professional		$1,202.26	$1,230.27	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,862.09	Professional		$812.83	$812.83	$1,862.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $794.33 / $1,047.13	Professional		$741.31	$794.33	$1,047.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,412.54 / $2,344.23	Facility		$660.69	$1,412.54	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $707.95 / $1,288.25	Facility		$478.63	$707.95	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,122.02	Professional		$588.84	$794.33	$1,122.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $11,748.98 / $11,748.98	Professional		$7,943.28	$11,748.98	$11,748.98