Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.35 / $999.35 / $1,723.94	Facility		$999.35	$999.35	$1,723.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.08 / $999.35 / $999.35	Professional		$522.08	$999.35	$999.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $915.04 / $1,098.05 / $2,084.89	Facility		$915.04	$1,098.05	$2,084.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.53 / $855.96 / $855.96	Professional		$650.53	$855.96	$855.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.97 / $713.15 / $713.15	Facility		$705.97	$713.15	$713.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.60 / $713.14 / $1,513.13	Professional		$520.60	$713.14	$1,513.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $367.58 / $999.35 / $1,299.16	Facility		$367.58	$999.35	$1,299.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $642.00 / $642.00 / $776.00	Professional		$642.00	$642.00	$776.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,758.40 / $1,758.40 / $2,703.60	Professional		$1,758.40	$1,758.40	$2,703.60
United Facility/Professional Professional Modifier Low / Median / High Price $437.45 / $569.38 / $893.25	Professional		$437.45	$569.38	$893.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,198.01 / $7,228.12 / $7,228.12	Facility		$2,198.01	$7,228.12	$7,228.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,021.16 / $8,021.16 / $10,990.05	Professional		$8,021.16	$8,021.16	$10,990.05