Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.70 / $838.70 / $1,702.15	Facility		$838.70	$838.70	$1,702.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.02 / $838.70 / $838.70	Professional		$563.02	$838.70	$838.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,026.55 / $1,671.52 / $2,058.52	Facility		$1,026.55	$1,671.52	$2,058.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.29 / $845.14 / $845.14	Professional		$642.29	$845.14	$845.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $697.05 / $957.73 / $957.73	Facility		$697.05	$957.73	$957.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.05 / $957.73 / $1,565.25	Professional		$697.05	$957.73	$1,565.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $352.30 / $838.70 / $1,268.99	Facility		$352.30	$838.70	$1,268.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $634.00 / $634.00 / $791.00	Professional		$634.00	$634.00	$791.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,464.90 / $1,464.90 / $2,252.40	Professional		$1,464.90	$1,464.90	$2,252.40
United Facility/Professional Facility Modifier Low / Median / High Price $595.23 / $595.23 / $595.23	Facility		$595.23	$595.23	$595.23
United Facility/Professional Professional Modifier Low / Median / High Price $454.76 / $562.17 / $864.03	Professional		$454.76	$562.17	$864.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,268.19 / $5,705.72 / $5,705.72	Facility		$2,268.19	$5,705.72	$5,705.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,075.54 / $6,075.54 / $9,155.62	Professional		$6,075.54	$6,075.54	$9,155.62