Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.12 / $912.12 / $1,573.47	Facility		$912.12	$912.12	$1,573.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.76 / $912.12 / $912.12	Professional		$456.76	$912.12	$912.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $835.15 / $1,002.18 / $1,902.90	Facility		$835.15	$1,002.18	$1,902.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.75 / $781.25 / $781.25	Professional		$593.75	$781.25	$781.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.35 / $740.83 / $740.83	Facility		$644.35	$740.83	$740.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $740.83 / $1,218.75	Professional		$540.80	$740.83	$1,218.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $335.49 / $912.12 / $1,185.76	Facility		$335.49	$912.12	$1,185.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $586.00 / $586.00 / $731.00	Professional		$586.00	$586.00	$731.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,666.70 / $1,666.70 / $2,562.60	Professional		$1,666.70	$1,666.70	$2,562.60
United Facility/Professional Professional Modifier Low / Median / High Price $399.27 / $519.67 / $782.82	Professional		$399.27	$519.67	$782.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,083.34 / $6,597.23 / $6,597.23	Facility		$2,083.34	$6,597.23	$6,597.23
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,274.64 / $9,274.64 / $10,416.68	Professional		$9,274.64	$9,274.64	$10,416.68