Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.01 / $879.01 / $1,516.34	Facility		$879.01	$879.01	$1,516.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.43 / $879.01 / $879.01	Professional		$458.43	$879.01	$879.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $914.50 / $1,489.07 / $1,833.83	Facility		$914.50	$1,489.07	$1,833.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.19 / $752.89 / $752.89	Professional		$572.19	$752.89	$752.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.96 / $627.26 / $627.26	Facility		$620.96	$627.26	$627.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $496.77 / $1,163.63	Professional		$457.90	$496.77	$1,163.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.31 / $879.01 / $1,142.71	Facility		$323.31	$879.01	$1,142.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $564.00 / $564.00 / $682.55	Professional		$564.00	$564.00	$682.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,601.00 / $1,601.00 / $2,461.60	Professional		$1,601.00	$1,601.00	$2,461.60
United Facility/Professional Facility Modifier Low / Median / High Price $385.87 / $496.34 / $567.91	Facility		$385.87	$496.34	$567.91
United Facility/Professional Professional Modifier Low / Median / High Price $384.77 / $500.81 / $754.40	Professional		$384.77	$500.81	$754.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,001.24 / $6,357.69 / $6,357.69	Facility		$2,001.24	$6,357.69	$6,357.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,445.04 / $10,445.04 / $10,445.04	Professional		$10,445.04	$10,445.04	$10,445.04