Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.35 / $1,020.35 / $2,070.80	Facility		$1,020.35	$1,020.35	$2,070.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.28 / $1,020.35 / $1,020.35	Professional		$613.28	$1,020.35	$1,020.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,248.88 / $2,033.53 / $2,504.35	Facility		$1,248.88	$2,033.53	$2,504.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.43 / $1,028.18 / $1,096.73	Professional		$954.43	$1,028.18	$1,096.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.08 / $809.08 / $809.08	Facility		$809.08	$809.08	$809.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.72 / $809.08 / $1,596.00	Professional		$687.72	$809.08	$1,596.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $417.02 / $1,020.35 / $1,524.68	Facility		$417.02	$1,020.35	$1,524.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $961.80 / $961.80 / $961.80	Professional		$961.80	$961.80	$961.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,064.80 / $2,064.80 / $3,185.40	Professional		$2,064.80	$2,064.80	$3,185.40
United Facility/Professional Professional Modifier Low / Median / High Price $538.30 / $683.93 / $1,048.35	Professional		$538.30	$683.93	$1,048.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,589.65 / $6,150.40 / $6,150.40	Facility		$2,589.65	$6,150.40	$6,150.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,286.86 / $12,948.23 / $12,948.23	Professional		$8,286.86	$12,948.23	$12,948.23