Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,047.13 / $1,096.48	Professional		$275.42	$1,047.13	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $144.54 / $151.36	Facility		$125.89	$144.54	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $208.93	Professional		$89.13	$89.13	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,047.13	Professional		$1,000.00	$1,047.13	$1,047.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,000.00 / $1,348.96	Facility		$223.87	$1,000.00	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $229.09 / $1,412.54	Professional		$0.60	$229.09	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $489.78 / $549.54	Facility		$302.00	$489.78	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $302.00 / $1,000.00	Professional		$125.89	$302.00	$1,000.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84