Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.10 / $954.10 / $1,645.89	Facility		$954.10	$954.10	$1,645.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.30 / $954.10 / $954.10	Professional		$499.30	$954.10	$954.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.62 / $1,616.29 / $1,990.50	Facility		$992.62	$1,616.29	$1,990.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.49 / $817.21 / $871.69	Professional		$735.49	$817.21	$871.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.01 / $680.86 / $680.86	Facility		$674.01	$680.86	$680.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $680.86 / $1,609.50	Professional		$497.03	$680.86	$1,609.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $350.94 / $954.10 / $1,281.61	Facility		$350.94	$954.10	$1,281.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $613.00 / $613.00 / $740.87	Professional		$613.00	$613.00	$740.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,743.40 / $1,743.40 / $2,680.50	Professional		$1,743.40	$1,743.40	$2,680.50
United Facility/Professional Facility Modifier Low / Median / High Price $418.83 / $531.54 / $616.42	Facility		$418.83	$531.54	$616.42
United Facility/Professional Professional Modifier Low / Median / High Price $414.84 / $543.59 / $818.85	Professional		$414.84	$543.59	$818.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,179.23 / $6,900.90 / $6,900.90	Facility		$2,179.23	$6,900.90	$6,900.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,973.54 / $6,973.54 / $10,896.15	Professional		$6,973.54	$6,973.54	$10,896.15