Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.01 / $1,054.01 / $1,818.25	Facility		$1,054.01	$1,054.01	$1,818.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.89 / $1,054.01 / $1,054.01	Professional		$548.89	$1,054.01	$1,054.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $965.06 / $1,158.08 / $2,198.92	Facility		$965.06	$1,158.08	$2,198.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.11 / $902.78 / $902.78	Professional		$686.11	$902.78	$902.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $744.59 / $752.15 / $752.15	Facility		$744.59	$752.15	$752.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $595.66 / $1,605.75	Professional		$549.07	$595.66	$1,605.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $387.68 / $1,054.01 / $1,370.21	Facility		$387.68	$1,054.01	$1,370.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $677.00 / $677.00 / $818.44	Professional		$677.00	$677.00	$818.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,753.00 / $1,753.00 / $2,695.40	Professional		$1,753.00	$1,753.00	$2,695.40
United Facility/Professional Professional Modifier Low / Median / High Price $461.38 / $600.52 / $918.95	Professional		$461.38	$600.52	$918.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,191.29 / $7,050.38 / $7,050.38	Facility		$2,191.29	$7,050.38	$7,050.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,124.59 / $7,124.59 / $10,956.45	Professional		$7,124.59	$7,124.59	$10,956.45