Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,151.86 / $1,151.86 / $1,987.05	Facility		$1,151.86	$1,151.86	$1,987.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.12 / $1,151.86 / $1,151.86	Professional		$575.12	$1,151.86	$1,151.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,054.67 / $1,265.60 / $2,403.08	Facility		$1,054.67	$1,265.60	$2,403.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $749.81 / $986.60 / $986.60	Professional		$749.81	$986.60	$986.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $813.72 / $830.86 / $830.86	Facility		$813.72	$830.86	$830.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $830.86 / $1,539.38	Professional		$606.53	$830.86	$1,539.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $423.68 / $1,151.86 / $1,497.43	Facility		$423.68	$1,151.86	$1,497.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $740.00 / $740.00 / $894.43	Professional		$740.00	$740.00	$894.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,715.00 / $1,715.00 / $2,636.90	Professional		$1,715.00	$1,715.00	$2,636.90
United Facility/Professional Facility Modifier Low / Median / High Price $876.64 / $876.64 / $876.64	Facility		$876.64	$876.64	$876.64
United Facility/Professional Professional Modifier Low / Median / High Price $504.21 / $656.27 / $995.72	Professional		$504.21	$656.27	$995.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,246.31 / $8,331.26 / $8,331.26	Facility		$2,246.31	$8,331.26	$8,331.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,251.33 / $13,251.33 / $13,251.33	Professional		$13,251.33	$13,251.33	$13,251.33