Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.32 / $1,188.32 / $2,411.67	Facility		$1,188.32	$1,188.32	$2,411.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.24 / $1,188.32 / $1,188.32	Professional		$714.24	$1,188.32	$1,188.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,280.07 / $1,536.09 / $2,916.61	Facility		$1,280.07	$1,536.09	$2,916.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,111.54 / $1,197.44 / $1,317.18	Professional		$1,111.54	$1,197.44	$1,317.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.63 / $886.63 / $886.63	Facility		$886.63	$886.63	$886.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.24 / $886.63 / $1,840.88	Professional		$647.24	$886.63	$1,840.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $1,188.32 / $1,797.96	Facility		$457.00	$1,188.32	$1,797.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $893.00 / $1,120.13	Professional		$893.00	$893.00	$1,120.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,859.90 / $1,859.90 / $2,859.60	Professional		$1,859.90	$1,859.90	$2,859.60
United Facility/Professional Professional Modifier Low / Median / High Price $611.96 / $799.89 / $1,154.94	Professional		$611.96	$799.89	$1,154.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,667.81 / $7,396.37 / $7,396.37	Facility		$2,667.81	$7,396.37	$7,396.37
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,010.83 / $8,010.83 / $11,624.25	Professional		$8,010.83	$8,010.83	$11,624.25