Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.25 / $412.25 / $412.25	Facility		$412.25	$412.25	$412.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.25 / $412.25 / $688.07	Professional		$412.25	$412.25	$688.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.21 / $705.84 / $776.42	Professional		$655.21	$705.84	$776.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.21 / $655.29 / $655.29	Facility		$618.21	$655.29	$655.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $927.31	Professional		$655.29	$655.29	$927.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $412.25 / $460.75 / $1,925.00	Facility		$412.25	$460.75	$1,925.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $460.75 / $460.75 / $460.75	Professional		$460.75	$460.75	$460.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,027.20 / $1,027.20 / $1,027.20	Professional		$1,027.20	$1,027.20	$1,027.20
United Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $865.00	Professional		$655.29	$655.29	$865.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,487.50 / $1,487.50 / $4,487.09	Facility		$1,487.50	$1,487.50	$4,487.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,487.09 / $4,487.09 / $5,361.66	Professional		$4,487.09	$4,487.09	$5,361.66