Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,380.38	Professional		$660.69	$851.14	$1,380.38
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 / $1,202.26 / $1,348.96	Professional		$1,202.26	$1,202.26	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $851.14 / $977.24	Facility		$707.95	$851.14	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,318.26	Professional		$630.96	$630.96	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $812.83 / $912.01	Professional		$758.58	$812.83	$912.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,380.38 / $2,187.76	Facility		$602.56	$1,380.38	$2,187.76
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 $467.74 / $691.83 / $1,258.93	Facility		$467.74	$691.83	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,122.02	Professional		$575.44	$776.25	$1,122.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Professional		$13,182.57	$13,182.57	$13,182.57