Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.44 / $1,195.44 / $2,426.09	Facility		$1,195.44	$1,195.44	$2,426.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.52 / $1,195.44 / $1,195.44	Professional		$718.52	$1,195.44	$1,195.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,463.17 / $2,382.48 / $2,934.10	Facility		$1,463.17	$2,382.48	$2,934.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,118.20 / $1,204.60 / $1,325.07	Professional		$1,118.20	$1,204.60	$1,325.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.71 / $891.71 / $891.71	Facility		$891.71	$891.71	$891.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $891.71 / $1,851.75	Professional		$650.95	$891.71	$1,851.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $482.60 / $1,195.44 / $1,681.95	Facility		$482.60	$1,195.44	$1,681.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,207.01 / $1,207.01 / $1,207.01	Professional		$1,207.01	$1,207.01	$1,207.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,871.00 / $1,871.00 / $2,876.70	Professional		$1,871.00	$1,871.00	$2,876.70
United Facility/Professional Professional Modifier Low / Median / High Price $663.86 / $801.29 / $1,257.07	Professional		$663.86	$801.29	$1,257.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,683.72 / $7,438.91 / $7,438.91	Facility		$2,683.72	$7,438.91	$7,438.91
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,042.55 / $11,693.78 / $11,693.78	Professional		$8,042.55	$11,693.78	$11,693.78