Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.27 / $1,342.27 / $2,315.48	Facility		$1,342.27	$1,342.27	$2,315.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.45 / $1,342.27 / $1,342.27	Professional		$654.45	$1,342.27	$1,342.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,396.46 / $2,273.85 / $2,800.31	Facility		$1,396.46	$2,273.85	$2,800.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.76 / $1,149.69 / $1,149.69	Professional		$873.76	$1,149.69	$1,149.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.96 / $842.96 / $948.22	Facility		$842.96	$842.96	$948.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $842.96 / $1,783.50	Professional		$615.36	$842.96	$1,783.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $434.49 / $1,342.27 / $1,744.95	Facility		$434.49	$1,342.27	$1,744.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $862.00 / $862.00 / $1,042.26	Professional		$862.00	$862.00	$1,042.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,158.50 / $2,158.50 / $3,318.70	Professional		$2,158.50	$2,158.50	$3,318.70
United Facility/Professional Professional Modifier Low / Median / High Price $557.04 / $757.93 / $1,108.89	Professional		$557.04	$757.93	$1,108.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,698.10 / $7,331.10 / $7,331.10	Facility		$2,698.10	$7,331.10	$7,331.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,633.90 / $8,633.90 / $13,490.48	Professional		$8,633.90	$8,633.90	$13,490.48