Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.00 / $459.00 / $459.00	Facility		$459.00	$459.00	$459.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $459.00 / $3,876.75	Professional		$459.00	$459.00	$3,876.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,982.92 / $2,136.15 / $2,278.56	Professional		$1,982.92	$2,136.15	$2,278.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,483.15 / $3,692.14 / $3,692.14	Facility		$3,483.15	$3,692.14	$3,692.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,420.00 / $3,692.14 / $3,692.14	Professional		$3,420.00	$3,692.14	$3,692.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $459.00 / $513.00 / $3,762.00	Facility		$459.00	$513.00	$3,762.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $513.00 / $513.00 / $513.00	Professional		$513.00	$513.00	$513.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,309.10 / $5,309.10 / $5,309.10	Professional		$5,309.10	$5,309.10	$5,309.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,171.60 / $2,929.02 / $3,692.14	Facility		$1,171.60	$2,929.02	$3,692.14
United Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $4,873.62	Professional		$3,692.14	$3,692.14	$4,873.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,144.85 / $4,911.24 / $8,289.69	Facility		$4,144.85	$4,911.24	$8,289.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,970.00 / $11,970.00 / $14,244.40	Professional		$11,970.00	$11,970.00	$14,244.40