Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.90 / $402.90 / $402.90	Facility		$402.90	$402.90	$402.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.90 / $402.90 / $1,299.15	Professional		$402.90	$402.90	$1,299.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.59 / $805.36 / $885.90	Professional		$747.59	$805.36	$885.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.25 / $1,237.28 / $1,237.28	Facility		$1,167.25	$1,237.28	$1,237.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,680.00	Professional		$1,237.28	$1,237.28	$1,680.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $402.90 / $1,596.00 / $1,848.00	Facility		$402.90	$1,596.00	$1,848.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,596.00 / $1,596.00 / $1,664.27	Professional		$1,596.00	$1,596.00	$1,664.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $149.69	Professional		$149.69	$149.69	$149.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.97 / $1,237.28 / $1,608.46	Professional		$1,055.97	$1,237.28	$1,608.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,645.82 / $2,408.92 / $5,119.78	Facility		$1,645.82	$2,408.92	$5,119.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,119.78 / $5,119.78 / $5,563.22	Professional		$5,119.78	$5,119.78	$5,563.22