Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.60 / $1,166.60 / $2,012.49	Facility		$1,166.60	$1,166.60	$2,012.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.96 / $1,166.60 / $1,166.60	Professional		$595.96	$1,166.60	$1,166.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,213.71 / $1,976.28 / $2,433.84	Facility		$1,213.71	$1,976.28	$2,433.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $899.31 / $999.23 / $1,065.84	Professional		$899.31	$999.23	$1,065.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $824.13 / $832.50 / $832.50	Facility		$824.13	$832.50	$832.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $832.50 / $1,761.38	Professional		$607.73	$832.50	$1,761.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $429.10 / $1,166.60 / $1,516.59	Facility		$429.10	$1,166.60	$1,516.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $749.00 / $749.00 / $905.88	Professional		$749.00	$749.00	$905.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,131.69 / $2,131.69 / $3,277.60	Professional		$2,131.69	$2,131.69	$3,277.60
United Facility/Professional Professional Modifier Low / Median / High Price $510.67 / $664.67 / $1,042.76	Professional		$510.67	$664.67	$1,042.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,664.62 / $8,437.95 / $8,437.95	Facility		$2,664.62	$8,437.95	$8,437.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,295.11 / $9,295.11 / $13,323.08	Professional		$9,295.11	$9,295.11	$13,323.08