Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.25 / $837.25 / $837.25	Facility		$837.25	$837.25	$837.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.25 / $837.25 / $1,722.98	Professional		$837.25	$837.25	$1,722.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,688.95 / $1,819.47 / $1,940.77	Professional		$1,688.95	$1,819.47	$1,940.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.05 / $1,640.93 / $1,640.93	Facility		$1,548.05	$1,640.93	$1,640.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $1,640.93 / $1,640.93	Professional		$1,560.00	$1,640.93	$1,640.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $837.25 / $935.75 / $1,987.98	Facility		$837.25	$935.75	$1,987.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $935.75 / $935.75 / $2,076.54	Professional		$935.75	$935.75	$2,076.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,307.90 / $2,307.90 / $2,307.90	Professional		$2,307.90	$2,307.90	$2,307.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $2,166.03	Professional		$1,640.93	$1,640.93	$2,166.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,171.85 / $2,182.75 / $2,631.69	Facility		$2,171.85	$2,182.75	$2,631.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,460.00 / $5,460.00 / $6,941.34	Professional		$5,460.00	$5,460.00	$6,941.34