Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.01 / $96.01 / $96.01	Facility		$96.01	$96.01	$96.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.01 / $96.01 / $2,923.60	Professional		$96.01	$96.01	$2,923.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.60 / $243.35 / $324.55	Facility		$197.60	$243.35	$324.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.47 / $65.15 / $69.48	Professional		$60.47	$65.15	$69.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,626.77 / $2,784.38 / $2,784.38	Facility		$2,626.77	$2,784.38	$2,784.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,940.16	Professional		$2,784.38	$2,784.38	$3,940.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.01 / $228.00 / $2,185.15	Facility		$96.01	$228.00	$2,185.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.43 / $228.00 / $228.00	Professional		$122.43	$228.00	$228.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $215.90 / $215.90 / $745.60	Professional		$215.90	$215.90	$745.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,341.26	Professional		$2,784.38	$2,784.38	$3,341.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,570.00 / $3,703.75 / $4,465.51	Facility		$3,570.00	$3,703.75	$4,465.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,987.21 / $6,987.21 / $9,193.70	Professional		$6,987.21	$6,987.21	$9,193.70